Individual
KRISTYN TALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
42421 PELICAN PROFESSIONAL PARK, HAMMOND, LA 70403-2405
(985) 400-5551
Mailing address
23154 WATERBUCK LAKE CT, DENHAM SPRINGS, LA 70726-7475
(225) 810-2536
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
363A00000X
LA
Other
Enumeration date
06/09/2025
Last updated
06/09/2025
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