Individual
LYNN E TALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4745 OGLETOWN STANTON RD STE 231, NEWARK, DE 19713-2074
(302) 731-2900
(302) 731-1306
Mailing address
PO BOX 785116, PHILADELPHIA, PA 19178-0001
(302) 731-2900
(302) 731-1306
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
C2-0002144
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000584102
—
DE
Enumeration date
07/06/2006
Last updated
02/06/2008
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