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Individual
DR. TERRI L LALLY
Active
Individual
DR. TERRI L LALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
8315
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20067Y
ANTHEM PROVIDER NUMBER
NH
05
—
30003620
—
NH
01
—
7001338
AETNA PROVIDER #
NH
01
—
NH1044
HARVARD PILGRAM HEALTH
NH
Enumeration date
05/01/2006
Last updated
07/09/2007
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