Organization
SHEILA C LALLY, DO, PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHEILA CAROLYN LALLY DO (OWNER)
(360) 697-6547
Entity
Organization
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
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1089317
—
WA
Enumeration date
12/08/2006
Last updated
01/04/2013
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