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Individual

DR. SHEILA CAROLYN LALLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
22180 OLYMPIC COLLEGE WAY NW, SUITE 204, POULSBO, WA 98370-6664
(360) 697-6547
(360) 697-9277
Mailing address
22180 OLYMPIC COLLEGE WAY NW, SUITE 204, POULSBO, WA 98370-6664
(360) 697-6547
(360) 697-9277

Taxonomy

Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
OP00001442
WA
208600000X
Surgery Physician
OP00001442
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1089317
WA
Enumeration date
10/27/2005
Last updated
02/26/2016
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