Individual
DR. ERIN BRETT LALLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2100 FOREST AVE STE 105, SAN JOSE, CA 95128-1422
(408) 495-8800
(408) 495-8877
Mailing address
2100 FOREST AVE STE 105, SAN JOSE, CA 95128-1422
(408) 495-8800
(408) 495-8877
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
0101259022
VA
207W00000X
Ophthalmology Physician
201501277
NC
207W00000X
Ophthalmology Physician
Primary
A143148
CA
390200000X
Student in an Organized Health Care Education/Training Program
MT200176
PA
Other
Enumeration date
07/06/2011
Last updated
03/29/2022
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