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1376743807
LORRAINE M WALLA
NEW YORK, NY
NPI
1376743807
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 005264)
Enumeration Date
2007-07-23
Last Update Date
2007-07-23
Business Address
Ms. LORRAINE M WALLA R.P.A.-C.
500 8TH AVE 3RD FLOOR
NEW YORK, NY 10018-6504
Phone number: 212-904-1500
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Mailing Address
Ms. LORRAINE M WALLA R.P.A.-C.
141 W 74TH ST #4A
NEW YORK, NY 10023-2227
Phone number: 212-580-1153
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