Individual
JULIANNE MARIE LALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5 MOBILE INFIRMARY CIR, MOBILE, AL 36607-3513
(800) 424-3513
(954) 377-3042
Mailing address
14050 NW 14TH ST, SUITE 190, SUNRISE, FL 33323-2865
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4300
TN
363A00000X
Physician Assistant
—
AL
Other
Enumeration date
09/10/2014
Last updated
12/11/2020
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