Individual
FAITH ROSE LALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
444 EAST MARSHALL STREET, STE 101, WEST CHESTER, PA 19380-5415
(610) 738-2500
Mailing address
444 EAST MARSHALL STREET, STE 101, WEST CHESTER, PA 19380
(610) 738-2500
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
SP026087
PA
Other
Enumeration date
10/11/2022
Last updated
09/14/2023
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