Individual
LISA ANNE LALLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1360 HWY 36, HAZLET, NJ 07730-1716
(732) 264-3114
(732) 335-3940
Mailing address
1360 HWY 36, HAZLET, NJ 07730-1716
(732) 264-3114
(732) 335-3940
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI01869900
NJ
Other
Enumeration date
07/28/2010
Last updated
07/28/2010
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