Individual
LAINEY K LALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4810 BELMAR BLVD, WALL TOWNSHIP, NJ 07753-6952
(732) 938-6090
(732) 938-5680
Mailing address
4810 BELMAR BLVD, WALL TOWNSHIP, NJ 07753-6952
(732) 938-6090
(732) 938-5680
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
26NR13699200
NJ
363L00000X
Nurse Practitioner
Primary
26NJ15185700
NJ
Other
Enumeration date
10/22/2017
Last updated
10/28/2024
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