MEDICARE: MATTHEW CHARLES LALLY 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
1	2084A0401X	Addiction Medicine (Psychiatry & Neurology) Physician	31926	AZ
2	2084P0804X	Child & Adolescent Psychiatry Physician	31926	AZ

General Provider Information

NPI Number	:	1750614467
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MATTHEW CHARLES LALLY M.D.

Provider Business Mailing Address
First Line	:	4110 W SWEETWATER DR
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85745-9348
Country	:	US
Telephone Number	:	520-743-0411
Fax Number	:

Provider Business Practice Location Address
First Line	:	4110 W SWEETWATER DR
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85745-9348
Country	:	US
Telephone Number	:	520-743-0411
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/13/2009
Last Update Date	:	09/13/2009

Similar Medicare Providers

1861592826 — DR. GAIL N SHULTZ M.D.
Practice Location Address:

4110 W SWEETWATER DR
TUCSON, AZ
85745-9348

Practice Phone: 520-743-0411
Practice Fax:

1902974934 — COTTONWOOD DE TUCSON, INC
Practice Location Address:

4110 W SWEETWATER DR , BLDG 1400
TUCSON, AZ
85745-9348

Practice Phone: 520-743-0411
Practice Fax: 520-743-7991

1407904105 — COTTONWOOD DE TUCSON INC
Practice Location Address:

4110 W SWEETWATER DR
TUCSON, AZ
85745-9348

Practice Phone: 520-743-2101
Practice Fax: 520-743-2184

1174666564 — TAB WAYNE HOYT FNP
Practice Location Address:

4110 W SWEETWATER DR
TUCSON, AZ
85745-9348

Practice Phone: 520-743-2150
Practice Fax: 520-743-2186

1003010653 — JIM SEYMOUR MD
Practice Location Address:

4110 W SWEETWATER DR
TUCSON, AZ
85745-9348

Practice Phone: 520-743-2150
Practice Fax:

1598954752 — DR. FRANCES LEE MOORE MD
Practice Location Address:

4110 SWEETWATER DR
TUCSON, AZ
85745-9348

Practice Phone: 520-743-2150
Practice Fax: 520-743-2186

Directions to “ MATTHEW CHARLES LALLY M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.