Talty, Laureen

Talty, Laureen is an individual health care provider with primary practice located at 171 Kempsville Rd Building B, Norfolk VA 23502-4700. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Talty, Laureen can be contacted via phone (757) 668-6500.

Contact Information

Primary practice address
171 Kempsville Rd Building B Norfolk VA 23502-4700
Phone: (757) 668-6500
Fax: (757) 668-6522
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101039464 Virginia

Profile Details

NPI number 1558302562
LBN Legal business name Talty, Laureen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Jan 4th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558302562 NPPES
Other 541778786001 TRICARE
Other 006700870 TRICARE
MEDICAID 006700870 TRICARE
Other 233009 TRICARE
Other 13029 TRICARE
Other 330036 TRICARE
MEDICAID 8906114 TRICARE

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