BRIAN EDWARD LALLY

CHARLESTON, SC
NPI1114102407
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0001X 
(Licence: SC  89973)
Additional Taxonomies2085R0001X 
(Licence: PA  MD423422)
Enumeration Date2008-01-04
Last Update Date2023-09-07
Business Address
BRIAN EDWARD LALLY MD
171 ASHLEY AVE
CHARLESTON, SC 29425-5127
Phone number: 843-792-1414
Mailing Address
BRIAN EDWARD LALLY MD
PO BOX 751461
CHARLOTTE, NC 28275-1461
Phone number: 843-792-6200
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