Individual
DEBORA GAIL TALLIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2387 PROFESSIONAL HEIGHTS DR STE 130, LEXINGTON, KY 40503-3038
(859) 687-6070
(859) 687-6071
Mailing address
2387 PROFESSIONAL HEIGHTS DR STE 130, LEXINGTON, KY 40503-3038
(859) 687-6070
(859) 687-6071
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
39006
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37903705
MEDICAID LAB GROUP
KY
01
—
4000501
MEDICARE LAB GROUP
KY
05
—
64088677
—
KY
01
—
CB5773
RR MEDICARE GROUP
—
01
—
P00184664
RR MEDICARE PIN
—
Enumeration date
07/30/2006
Last updated
10/13/2022
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