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1669648796
SHAWN LALLA
FLUSHING, NY
NPI
1669648796
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 012271)
Enumeration Date
2008-05-08
Last Update Date
2022-11-22
Business Address
SHAWN LALLA PA-C
5645 MAIN ST
FLUSHING, NY 11355-5045
Phone number: 718-670-2000
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Mailing Address
SHAWN LALLA PA-C
56-45 MAIN STREET
FLUSHING, NY 11355
Phone number: 718-670-2000
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