Lally, Terri L

Lally, Terri L is an individual health care provider with primary practice located at 17 Old Rollinsford Rd , Dover NH 03820-2827. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Lally, Terri L can be contacted via phone (603) 742-4048.

Contact Information

Primary practice address
17 Old Rollinsford Rd Dover NH 03820-2827
Fax: (603) 743-3345
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 8315 New Hampshire

Profile Details

NPI number 1891753968
LBN Legal business name Lally, Terri L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Jul 9th, 2007 - about 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891753968 NPPES
New Hampshire MEDICAID 30003620
New Hampshire Other NH1044
New Hampshire Other 20067Y
New Hampshire Other 7001338

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