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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SEAN LALLY

Active Sole Proprietor

SEAN LALLY is a 405300000X healthcare provider located in WOOSTER, Ohio. NPI 1972158012 is currently active in the NPPES registry. Verify at CMS.

405300000X · WOOSTER, OH

Registration Details

NPI Number
1972158012
Provider Type
Individual
Gender
Male
NPI Issued
Aug 6, 2019 (7.0657308798956 yrs)
Last Updated
Aug 6, 2019
License
1619070 (OH)
Sole Proprietor
Yes

Practice Information

Address
104 SPINK ST
WOOSTER, OH, 446913652
Browse OH providers · Browse ZIP 44691
Phone
3302648498
Fax
3302643777
Primary Specialty
405300000X
405300000X

Other 405300000X Providers in WOOSTER, OH

Name Credential NPI
KRISTINA HOSKINS RA 1821643032
NONYA WENGER 1164077293
KAILEY CARY 1679129175
JENNA SCINTA 1669045985
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.