Individual
MATTHEW LALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-0001
(859) 257-1000
Mailing address
800 ROSE ST RM M53, LEXINGTON, KY 40536-0298
(859) 323-5083
(859) 323-8056
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
R3081
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/01/2012
Last updated
08/28/2013
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