Individual
MRS. JESSICA MARIE LALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
29000 CENTER RIDGE RD, WESTLAKE, OH 44145-5219
(216) 789-9914
Mailing address
3331 TYLER DR, BRUNSWICK, OH 44212-3727
(216) 789-9914
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
0032437
OH
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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