| Lall Medical, Llc | |
|
725 Orchard Park Rd Ste A West Seneca NY 14224-3352 | |
| (716) 675-1001 | |
| (716) 675-3832 |
| Full Name | Lall Medical, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 725 Orchard Park Rd Ste A, West Seneca, New York |
| Authorized Official Name and Position | Jackie Nati (CREDENTIALING) |
| Authorized Official Contact | 7162061501 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lall Medical, Llc 725 Orchard Park Rd Ste A West Seneca NY 14224-3352 Ph: (716) 675-1001 | Lall Medical, Llc 725 Orchard Park Rd Ste A West Seneca NY 14224-3352 Ph: (716) 675-1001 |
| NPI Number | 1346978848 |
|---|---|
| Provider Enumeration Date | 08/11/2022 |
| Last Update Date | 08/11/2022 |
| Medicare PECOS PAC ID | 5597134692 |
|---|---|
| Medicare Enrollment ID | O20221213000224 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346978848 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Alisha Lall |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023495561 PECOS PAC ID: 9436463692 Enrollment ID: I20181128000374 |
| Provider Name | Amy L Donnelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811626260 PECOS PAC ID: 5092185314 Enrollment ID: I20230103001549 |
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