Lalley, Patrick Michael

Lalley, Patrick Michael is an individual health care provider with primary practice located at 1200 6Th Avenue North Centracare Clinic River Campus Palliative Care, St Cloud MN 56303-2735. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Lalley, Patrick Michael can be contacted via phone (320) 656-7117.

Contact Information

Primary practice address
1200 6Th Avenue North Centracare Clinic River Campus Palliative Care St Cloud MN 56303-2735
Phone: (320) 656-7117
Fax: (320) 255-5810
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 23382 Minnesota
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X 23382 Minnesota

Profile Details

NPI number 1942276902
LBN Legal business name Lalley, Patrick Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2006
Last updated Mar 27th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942276902 NPPES
Minnesota MEDICAID 054795600

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