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Individual
MICHELLE MEROLA LALLY
Active
Individual
MICHELLE MEROLA LALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-12997
NC
363A00000X
Physician Assistant
0110-005127
VA
363A00000X
Physician Assistant
PA031196
DC
Other
Enumeration date
10/29/2015
Last updated
01/26/2023
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