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1780638015
MICHELLE A LALLY
PROVIDENCE, RI
NPI
1780638015
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207RI0200X Internal Medicine Infectious Disease
(Licence: RI MD09871)
Enumeration Date
2006-05-20
Last Update Date
2007-11-14
Business Address
MICHELLE A LALLY MD
164 SUMMIT AVE FAIN BLDG., SUITE E
PROVIDENCE, RI 02906-2853
Phone number: 401-793-2928
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Mailing Address
MICHELLE A LALLY MD
PO BOX 1358
PROVIDENCE, RI 02901-1358
Phone number:
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