Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VG0400X | Gynecologist | 046430 | CT |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | MBO8158900 | NJ |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | OS021147 | PA |
N | 207VX0000X | Obstetrician | 046430 | CT |
NPI | 1083874069 |
---|---|
Provider Name | Dr. Diane De Lisi Timms |
First Address | Danville, PA 17822-4903 |
Second Address | Danville, PA 17822-1438 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2008 |
Last Update Date | 12/05/2021 |