Lally, Katherine Marie

Lally, Katherine Marie is an individual health care provider with primary practice located at 845 N New Ballas Ct Fl 2 , Saint Louis MO 63141-7134. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Lally, Katherine Marie can be contacted via phone (314) 983-4700.

Contact Information

Primary practice address
845 N New Ballas Ct Fl 2 Saint Louis MO 63141-7134
Phone: (314) 983-4700
Fax: (314) 567-7520
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1649239187
LBN Legal business name Lally, Katherine Marie
Credentials PHYSICIAN ASSISTANT
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2006
Last updated Oct 11th, 2019 - 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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