Individual
JOSEPH M LALLY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
125 DOUGHTY ST, STE 330, CHARLESTON, SC 29403-5736
(843) 722-7705
(843) 722-7149
Mailing address
PO BOX 91734, RICHMOND, VA 23291-1734
(804) 358-6100
(804) 342-7619
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
16001
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160015
—
SC
Enumeration date
12/13/2005
Last updated
11/25/2020
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