Lally Eyecare INC

NPI #1790890184 in Marshall, Missouri

Provider Information

NPI Number: 1790890184
Entity Type: Organization
Organization Name: Lally Eyecare INC
Primary Specialty: Optometrist
Enumeration Date: Aug 19, 2006
Last Updated: Jun 8, 2009

Practice Location

Address: 12 N JEFFERSON AVE
City: Marshall
State: Missouri
ZIP Code: 65340-2148
Phone: (660) 886-5584

Authorized Official

Name: DR. TRON YURI LALLY, O.D.
Title: PRESIDENT
Phone: (660) 886-5584

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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