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Individual
MICHELLE D LALLY
Active
Individual
MICHELLE D LALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
16181
SC
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
16181
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161817
—
SC
Enumeration date
08/29/2006
Last updated
03/31/2025
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