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Contact Information

PATRICK M LALLEY, MD
1200 6TH AVENUE NORTH
CENTRACARE CLINIC RIVER CAMPUS PALLIATIVE CARE
SAINT CLOUD, MN56303-2735
 Phone: 320-656-7117
 Fax: 320-255-5810
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospice and Palliative Medicine

207QH0002X 08 Physician/Family Practice
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for PATRICK M LALLEY · (Male)

NPI Number 1942276902
Status Active
Credentials MD
Entity Individual
Enumeration date 02/28/2006
Last updated 03/27/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 23382
  • MN Medicaid 054795600
Hospital affiliation(s)
  • ST CLOUD HOSPITAL - (Acute Care)
    1406 6TH AVE NORTH
    SAINT CLOUD, MN 56303
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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