Provider Demographics
NPI:1780999300
Name:LAHEY, IMELYN F (MD)
Entity type:Individual
Prefix:
First Name:IMELYN
Middle Name:F
Last Name:LAHEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1400 PEOPLES PLZ STE 305
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702-5708
Mailing Address - Country:US
Mailing Address - Phone:302-838-2210
Mailing Address - Fax:302-838-2129
Practice Address - Street 1:620 STANTON CHRISTIANA RD STE 305
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-2135
Practice Address - Country:US
Practice Address - Phone:302-999-8830
Practice Address - Fax:302-633-1375
Is Sole Proprietor?:No
Enumeration Date:2010-08-09
Last Update Date:2020-12-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DEC1-0012418207Q00000X
NH16406207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine