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
Phone: (303) 379-9371
Fax: (303) 284-4082
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1568438653 | NPPES |
Colorado | MEDICAID | 16108272 | |
Colorado | Other | C526618 |
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