Provider Demographics
NPI:1376814624
Name:MCANALLEY, LYNLEY KILLOUGH (MD)
Entity Type:Individual
Prefix:DR
First Name:LYNLEY
Middle Name:KILLOUGH
Last Name:MCANALLEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5917 SHERRY LN
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75225-6542
Mailing Address - Country:US
Mailing Address - Phone:214-692-8844
Mailing Address - Fax:214-368-6412
Practice Address - Street 1:5917 SHERRY LN
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75225-6542
Practice Address - Country:US
Practice Address - Phone:214-692-8844
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-18
Last Update Date:2012-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH8618207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine