Individual
DR. RICHARD EMERY LALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
709 N LINCOLN AVE, JEROME, ID 83338-1851
(208) 324-4301
(208) 324-2224
Mailing address
11020 W AMITY RD, BOISE, ID 83709-5051
(208) 562-1664
(208) 562-1565
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
M8141
ID
Other
Enumeration date
09/21/2006
Last updated
07/08/2007
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