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Organization

PATRICK T LALLY MD P C

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PATRICK T LALLY MD (OPHTHALMOLOGIST)
(724) 537-6500
Entity
Organization

Contact information

Practice address
911 LIGONIER ST, SUITE 102, LATROBE, PA 15650-1805
(724) 537-6500
(724) 537-7516
Mailing address
911 LIGONIER ST, SUITE 102, LATROBE, PA 15650-1805
(724) 537-6500
(724) 537-7516

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD024010E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0009123600001
PA
01
1001159
GATEWAY HEALTH PLAN
PA
01
1295739
UNITED MINE WORKERS
PA
01
1941827
PA BLUE SHIELD
PA
01
219637
HEALTH AMERICA
PA
01
60362
UNISON HEALTH PLAN
PA
01
V02278
UPMC
PA
Enumeration date
03/07/2007
Last updated
03/25/2008
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