Organization
PATRICK T LALLY, M.D. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK THOMAS LALLY MD PC (OWNER)
(724) 537-6500
Entity
Organization
Contact information
Practice address
911 LIGONIER ST, SUITE 102, LATROBE, PA 15650-1805
(724) 537-6500
Mailing address
2000 TOWER WAY, SUITE 2039, GREENSBURG, PA 15601-5786
(724) 832-5811
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
MD024010E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009123600001
—
PA
Enumeration date
04/23/2015
Last updated
08/25/2015
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