Lally, Michelle A

Lally, Michelle A is an individual health care provider with primary practice located at 164 Summit Ave Fain Bldg., Suite E, Providence RI 02906-2853. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Lally, Michelle A can be contacted via phone (401) 793-2928.

Contact Information

Primary practice address
164 Summit Ave Fain Bldg., Suite E Providence RI 02906-2853
Phone: (401) 793-2928
Fax: (401) 793-7401
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X MD09871 Rhode Island

Profile Details

NPI number 1780638015
LBN Legal business name Lally, Michelle A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Nov 14th, 2007 - about 17 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 1780638015 NPPES
Rhode Island MEDICAID 7006558

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