Lally Medical Group, a Professional Corporation
NPI #1407306772 in Montclair, California
Provider Information
- NPI Number
- 1407306772
- Entity Type
- Organization
- Organization Name
- Lally Medical Group, a Professional Corporation
- Primary Specialty
- Family Medicine
- Enumeration Date
- Oct 10, 2016
- Last Updated
- Jan 3, 2018
Practice Location
- Address
- 5050 SAN BERNARDINO ST
- City
- Montclair
- State
- California
- ZIP Code
- 91763-2326
- Phone
- (909) 464-8604
Authorized Official
- Name
- JAMES M LALLY, DO
- Title
- PRESIDENT
- Phone
- (909) 464-9675
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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