Provider Demographics
NPI:1902362999
Name:DELAHAY, LYNN
Entity Type:Individual
Prefix:
First Name:LYNN
Middle Name:
Last Name:DELAHAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40001 STILLWATER LN
Mailing Address - Street 2:
Mailing Address - City:LEONARDTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20650-5646
Mailing Address - Country:US
Mailing Address - Phone:240-925-6485
Mailing Address - Fax:301-475-4216
Practice Address - Street 1:40001 STILLWATER LN
Practice Address - Street 2:
Practice Address - City:LEONARDTOWN
Practice Address - State:MD
Practice Address - Zip Code:20650-5646
Practice Address - Country:US
Practice Address - Phone:240-925-6485
Practice Address - Fax:301-475-4216
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-14
Last Update Date:2019-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR076642163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty