Individual
LOIS J TALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1080 N GREEN ST STE 150, BROWNSBURG, IN 46112-2419
(317) 386-5618
(317) 386-5463
Mailing address
1080 N GREEN ST STE 150, BROWNSBURG, IN 46112-2419
(317) 386-5618
(317) 386-5463
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10000303A
IN
Other
Enumeration date
10/26/2007
Last updated
04/02/2024
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