Individual
PATRICK MICHAEL LALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 6TH AVENUE NORTH, CENTRACARE CLINIC RIVER CAMPUS PALLIATIVE CARE, ST CLOUD, MN 56303-2735
(320) 656-7117
(320) 255-5810
Mailing address
1200 6TH AVENUE NORTH, CENTRACARE CLINIC RIVER CAMPUS PALLIATIVE CARE, ST CLOUD, MN 56303-2735
(320) 656-7117
(320) 255-5810
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
23382
MN
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
23382
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
054795600
—
MN
Enumeration date
02/28/2006
Last updated
03/27/2023
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