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Grace Lally

NPI 1487494654 · on the registry since 2024

Practice

Address
12400 Montecito Rd Apt 401
Seal Beach, CA 90740
Phone
(562) 480-3119
Clinicians at this address
2

Registry record

Primary taxonomy
163W00000X
163W00000X
Also registered as
163WC0400X
163WC1500X
163WL0100X
163WM0102X
163WN0003X
163WP0808X
163WP1700X
163WX0002X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-05-27

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 California