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Search › New Mexico › 363A00000X

Bartholomew Lally, PA-C

NPI 1578011094 · on the registry since 2016

Practice

Address
933 San Mateo Blvd Ne Ste 500
Albuquerque, NM 87108
Phone
(505) 204-5150
Fax
(505) 494-1056
Organisation at this address
Walgreen Co
Jiffy Nemt Llc
Brident Dental Associates Of New Mexico Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
NM
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-11-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico