Individual
SARA E LALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
840 WALNUT STREET, SUITE 1440, PHILADELPHIA, PA 19107
(215) 928-3105
(215) 928-1140
Mailing address
840 WALNUT STREET, SUITE 1440, PHILADELPHIA, PA 19107
(215) 928-3105
(215) 928-1140
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD426201
PA
Other
Enumeration date
10/02/2007
Last updated
10/02/2007
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