Individual
BROOKE LALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
712 FORTINO BLVD, PUEBLO, CO 81008-2084
(719) 542-0236
Mailing address
712 FORTINO BLVD, PUEBLO, CO 81008-2084
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0004130
CO
152W00000X
Optometrist
2025023993
MO
Other
Enumeration date
04/03/2024
Last updated
08/04/2025
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