# SHEILA C LALLY, DO, PS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336209758
- **Authorized official:** DR. SHEILA CAROLYN LALLY DO (OWNER)
- **Authorized official phone:** (360) 697-6547

## Contact information

- **Practice address:** 22180 OLYMPIC COLLEGE WAY NW, SUITE 204, POULSBO, WA 98370-6664
- **Practice address phone:** (360) 697-6547
- **Practice address fax:** (360) 697-9277
- **Mailing address:** 22180 OLYMPIC COLLEGE WAY NW, SUITE 204, POULSBO, WA 98370-6664
- **Mailing address phone:** (360) 697-6547
- **Mailing address fax:** (360) 697-9277

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | OP00001442 | WA | Yes |

## Other

- **Enumeration date:** 12/08/2006
- **Last updated:** 01/04/2013