Individual
DR. JOANNE MARIE LALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1201 GRAMPIAN BLVD, STE 2D, WILLIAMSPORT, PA 17701
(570) 326-2595
Mailing address
1201 GRAMPIAN BLVD, STE 2D, WILLIAMSPORT, PA 17701
(570) 326-2595
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD036742E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110017834
RR MEDICARE
—
Enumeration date
08/23/2005
Last updated
03/03/2010
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