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NPI Code Detail

MEDICARE: LALLY PIA M.D.

MEDICARE: LALLY PIA M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0804XChild & Adolescent Psychiatry PhysicianA90516CA

General Provider Information

NPI Number : 1144265570
Entity Type Code : Individual
Provider Name (Legal Business Name) : LALLY PIA M.D.
Provider Business Mailing Address
First Line : 2230 STOCKTON BLVD
Second Line :
City : SACRAMENTO
State : CA
Zip : 95817-1419
Country : US
Telephone Number : 916-734-2972
Fax Number : 916-734-3384
Provider Business Practice Location Address
First Line : 5445 LAUREL HILLS DR
Second Line :
City : SACRAMENTO
State : CA
Zip : 95841-3105
Country : US
Telephone Number : 916-609-4943
Fax Number : 916-734-3384
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2006
Last Update Date : 04/01/2025

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