Individual
DR. THOMAS CHARLES LALLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3123 PASADENA CT, UNIT 39, DUBUQUE, IA 52001-0846
(563) 556-2097
(563) 556-1570
Mailing address
82 FORD DR, EAST DUBUQUE, IL 61025-8510
(815) 747-6295
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
20160
IA
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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