Organization
LALL MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE NATI (CREDENTIALING)
(716) 206-1501
Entity
Organization
Contact information
Practice address
725 ORCHARD PARK RD STE A, WEST SENECA, NY 14224-3352
(716) 675-1001
(716) 675-3832
Mailing address
725 ORCHARD PARK RD STE A, WEST SENECA, NY 14224-3352
(716) 675-1001
(716) 675-3832
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/11/2022
Last updated
08/11/2022
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