Healthcare Provider Details

I. General information

NPI: 1487587135
Provider Name (Legal Business Name): KATHRYN LALLY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 S WASHINGTON ST STE B
GETTYSBURG PA
17325-2500
US

IV. Provider business mailing address

1814 N 3RD ST
HARRISBURG PA
17102-1819
US

V. Phone/Fax

Practice location:
  • Phone: 717-337-4487
  • Fax:
Mailing address:
  • Phone: 240-475-6610
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: