Individual
DR. MICHAEL EDWARD LALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2120 ROLLINGDALE RD, LEXINGTON, KY 40513-1128
(859) 223-4520
Mailing address
2120 ROLLINGDALE RD, LEXINGTON, KY 40513-1128
(859) 223-4520
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
20194
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64201940
—
KY
Enumeration date
06/27/2006
Last updated
07/09/2007
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