Lally, Thomas J

Lally, Thomas J is an individual health care provider with primary practice located at 10900 W 44Th Ave Unit 200 Suite 202, Wheat Ridge CO 80033-2742. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Lally, Thomas J can be contacted via phone (303) 379-9371.

Contact Information

Primary practice address
10900 W 44Th Ave Unit 200 Suite 202 Wheat Ridge CO 80033-2742
Fax: (303) 284-4082
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 41971 Colorado
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X DR.0041971 Colorado

Profile Details

NPI number 1568438653
LBN Legal business name Lally, Thomas J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Nov 22nd, 2017 - about 7 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 1568438653 NPPES
Colorado MEDICAID 16108272
Colorado Other C526618

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