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Individual

DR. DAVINDER KAUR LALLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
7182 WOODROW ST STE 200, IRMO, SC 29063
(803) 749-1111
(803) 749-0050
Mailing address
7182 WOODROW ST STE 200, IRMO, SC 29063-2832
(803) 749-1111
(803) 749-0050

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
13380
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
LL1166
SC
Enumeration date
02/27/2006
Last updated
06/19/2020
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