Lally, Anne Letitia

Lally, Anne Letitia is an individual health care provider with primary practice located at 85 Seymour St Suite 301, Hartford CT 06106-5501. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Transplant Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Transplant Surgery is her primary health care specialty. Lally, Anne Letitia can be contacted via phone (860) 696-2030.

Contact Information

Primary practice address
85 Seymour St Suite 301 Hartford CT 06106-5501
Phone: (860) 696-2030
Fax: (860) 549-1476
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Transplant Surgery 204F00000X 040301 Connecticut
Allopathic & Osteopathic Physicians / Surgery 208600000X 040301 Connecticut

Profile Details

NPI number 1891794087
LBN Legal business name Lally, Anne Letitia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated May 21st, 2014 - about 10 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 1891794087 NPPES
Connecticut MEDICAID 001403013

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