MR. JOHN H LALLY APRN NPI 1558542670

NPI Information

  • NPI: 1558542670
  • Provider Name: MR. JOHN H LALLY, APRN
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 9C PASCO DR
    EAST WINDSOR, CT
    ZIP 06088
  • Phone: (860) 490-9886

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NPI Details

MR. John H Lally, APRN is a psychiatric/mental health nurse practitioner in East Windsor, CT. MR. John H Lally, APRN NPI is 1558542670. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9C PASCO DR
EAST WINDSOR, CT
ZIP 06088-707
Phone: (860) 490-9886
Fax: (860) 627-0400

The enumeration date for this NPI number is 11/16/2007 and was last updated on 6/5/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental Health003637CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1500000024MEDICAIDCONNECTICUT
2500002117MEDICARE PINCONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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