person
Mrs. Kathleen Lally, NP
Family Nurse Practitioner in Normal, Illinois
NPI 1508365842

Kathleen Lally is a Family Nurse Practitioner based in Normal, IL and is specialized in Family. Kathleen Lally practices in Normal, IL and has the professional credentials of NP. The NPI Number for Kathleen Lally is 1508365842 and holds a License No. 209017197 (Illinois).

The current practice location address for Kathleen Lally is 2010 Jacobssen Dr, Normal, IL and can be reached out via phone at 309-452-0995 and via fax at 309-862-0961.

Location: 2010 Jacobssen Dr, Normal, IL, 61761-6280
person
Provider Profile Details
NPI Number
1508365842
Provider Name
Kathleen Lally
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
2010 Jacobssen Dr, Normal, IL, 61761-6280
Phone Number
309-452-0995
Fax Number
309-862-0961
Provider Enumeration Date
02/01/2018
Last Update Date
06/15/2024
institution
Provider Business Practice Location Address Details
Address
2010 Jacobssen Dr
City
State
Zip
61761-6280
Phone Number
309-452-0995
Fax Number
309-862-0961
person
Provider Business Mailing Address Details
Address
2010 Jacobssen Dr
City
State
Zip
61761-6280
Phone Number
309-452-0995
Fax Number
309-862-0961
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
209017197 (Illinois)
Definition
Definition to come...
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