Organization
MARGARET S. LALLY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARGARET SUE LALLY M.D. (DERMATOLOGIST)
(412) 967-1192
Entity
Organization
Contact information
Practice address
1382 OLD FREEPORT RD, FIRST FLOOR REAR, PITTSBURGH, PA 15238-3159
(412) 967-1192
(412) 967-1195
Mailing address
1382 OLD FREEPORT RD, FIRST FLOOR REAR, PITTSBURGH, PA 15238-3159
(412) 967-1192
(412) 967-1195
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD037362E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1445668
BLUE SHIELD
PA
Enumeration date
11/02/2007
Last updated
11/02/2007
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