Lally, Kate Marie

Lally, Kate Marie is an individual health care provider with primary practice located at 450 Brookline Ave , Boston MA 02215-5418. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. Lally, Kate Marie can be contacted via phone (617) 632-6464.

Contact Information

Primary practice address
450 Brookline Ave Boston MA 02215-5418
Phone: (617) 632-6464
Fax: (617) 632-6180
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD425183 Pennsylvania
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X MD13953 Rhode Island
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X 275932 Massachusetts

Profile Details

NPI number 1497866339
LBN Legal business name Lally, Kate Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Aug 1st, 2018 - about 6 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 1497866339 NPPES
Other 2406111000 INDEPENDENCE BLUE CROSS
Other LA1739656 INDEPENDENCE BLUE CROSS

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