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Individual

CHRISTINE D LALLOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
743 SPRING ST NE, GAINESVILLE, GA 30501
(770) 219-9000
(770) 219-6021
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
047339
GA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
047339
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000878622A
GA
Enumeration date
10/25/2006
Last updated
01/12/2021
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