Individual
MR. CHARLES WESLEY LALLIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
28057
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1250106
UNITED HEALTHCARE
—
01
—
269611
MAMSI ALLIANCE
—
01
—
4221816
AETNA
—
01
—
50121
MEDCOST
—
01
—
50624
BSBC STATE FEDERAL NC HEA
NC
01
—
8950624
CAROLINA ACCESS NC
—
05
—
8950624
—
NC
Enumeration date
04/19/2006
Last updated
01/27/2011
Update your record
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