Amy C Lalla PA-C

NPI 1760815955 - Physician Assistant - 363A00000X

NPI Details
NPI 1760815955
Gender Female
Enumeration Date 08/12/2013
Last Updated 11/06/2013
Entity Type Individual
Active Over 3 years ago
Practice Location
8210 LOUISIANA BLVD. NE
SUITE C
ALBUQUERQUE NM, 87113-1761, US
Phone (505) 858-1222
Fax (505) 858-1224
Business Location
8210 LOUISIANA BLVD. NE
SUITE C
ALBUQUERQUE NM, 87113-1761, US
Phone (505) 858-1222
Fax (505) 858-1224
Toxanomy
Taxonomy Code 363A00000X
License State New Mexico
License Number PA2013-0042
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According to our database, Ms. Amy C Lalla PA-C NPI is 1760815955, taxonomy code is 363A00000X and license number is PA2013-0042, license state is located at New Mexico. Amy C Lalla PA-C physically located at 8210 Louisiana Blvd. Ne, Albuquerque NM, 87113-1761. NPI Number Amy C Lalla PA-C has the Individual type.

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1760815955 NPI number is provided on an as is basis without warranty of any kind. 1760815955 is maintained by the National Plan & Provider Enumeration System. The contents of Amy C Lalla PA-C are for informational purposes only.