Provider Demographics
NPI:1639657778
Name:LALLI, LAUREN EMBRY (PA)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:EMBRY
Last Name:LALLI
Suffix:
Gender:F
Credentials:PA
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:26 POMONA CIR
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31419-8191
Mailing Address - Country:US
Mailing Address - Phone:803-493-6256
Mailing Address - Fax:
Practice Address - Street 1:135 CANAL ST STE 500A
Practice Address - Street 2:
Practice Address - City:POOLER
Practice Address - State:GA
Practice Address - Zip Code:31322-4079
Practice Address - Country:US
Practice Address - Phone:912-335-3876
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-31
Last Update Date:2022-07-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant