Organization
DIAMOND STATE PRIMARY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IMELYN FERNANDEZ LAHEY MD (OWNER)
(302) 838-2210
Entity
Organization
Contact information
Practice address
1400 PEOPLES PLZ STE 305, NEWARK, DE 19702-5708
(302) 838-2210
(302) 838-2129
Mailing address
1400 PEOPLES PLZ STE 305, NEWARK, DE 19702-5708
(302) 838-2210
(302) 838-2129
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/09/2020
Last updated
12/03/2020
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