Individual
ANNE LETITIA LALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
85 SEYMOUR ST, SUITE 301, HARTFORD, CT 06106-5501
(860) 696-2030
(860) 549-1476
Mailing address
85 SEYMOUR ST, SUITE 301, HARTFORD, CT 06106-5501
(860) 696-2030
(860) 549-1476
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
040301
CT
208600000X
Surgery Physician
040301
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001403013
—
CT
Enumeration date
07/19/2005
Last updated
05/21/2014
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