Individual
MASON LALLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2405 ATHERHOLT RD, LYNCHBURG, VA 24501-2184
(434) 485-8500
Mailing address
2405 ATHERHOLT RD, LYNCHBURG, VA 24501-2184
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110009599
VA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
08/31/2023
Last updated
11/16/2023
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