MARY LALLY, BMBCH
Family Medicine
Active
Individual
NPI: 1417242587
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | Yes | 42083 (IA) |
Frequently Asked Questions
NPI 1417242587 is the National Provider Identifier for MARY LALLY, BMBCH, a Family Medicine provider located in Decorah, IA. This NPI was enumerated on June 16, 2011.
MARY LALLY, BMBCH practices at 901 MONTGOMERY ST, Decorah, IA 52101.
Quick Facts
- NPI
- 1417242587
- Type
- Individual
- Enumerated
- Jun 16, 2011
- Last Updated
- Nov 6, 2014
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