Mary C Lally, BMBCh
Family Medicine in Decorah, IA. Individual provider (NPI-1).
NPI number1417242587
StatusActive
Last updated in NPPESNov 6, 2014
Details
- NPI
- 1417242587
- Entity type
- Individual (NPI-1)
- Name
- Mary C Lally
- Credential
- BMBCh
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 16, 2011
- Last updated
- Nov 6, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 42083 | IA | Yes |
Other names
- Mary C Baran (Former Name)
Practice location
901 Montgomery StDecorah, IA 52101-2325
Phone 563-382-2911 · Fax 563-387-3102
Mailing address
901 Montgomery StDecorah, IA 52101-2325
Phone 563-382-2911 · Fax 563-387-3102
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All 27 Family Medicine Physician providers in Decorah · All 375 providers in Decorah
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