Individual
MEGAN LALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Mailing address
118 KEYSTONE ST, WEST ROXBURY, MA 02132-5137
(617) 894-4208
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2292616
MA
363LP0200X
Pediatric Nurse Practitioner
APPLYING
MA
Other
Enumeration date
04/01/2022
Last updated
04/01/2022
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