Individual
EDWARD V LALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
375 WAMPANOAG TRAIL, SUITE 202B, E. PROVIDENCE, RI 02915
(401) 649-4040
(401) 649-4041
Mailing address
375 WAMPANOAG TRAIL, SUITE 202B, E. PROVIDENCE, RI 02915
(401) 649-4040
(401) 649-4041
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
MD05751
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9006047
—
RI
Enumeration date
06/02/2006
Last updated
10/12/2016
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