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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891794087 | NPPES |
| Connecticut | MEDICAID | 001403013 |
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