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Individual

PETER F LALOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
960 W WOOSTER ST, SUITE 116, BOWLING GREEN, OH 43402-2644
(419) 373-7699
(419) 354-7430
Mailing address
745 HASKINS RD, SUITE B, BOWLING GREEN, OH 43402-1600
(419) 353-7069
(419) 353-7076

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
017404
ME
208600000X
Surgery Physician
Primary
35091608
OH
208600000X
Surgery Physician
ME96172
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2842535
OH
Enumeration date
07/11/2006
Last updated
06/15/2022
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