David Dominic Lalla

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP451619 Issued in PA

Practice address

940 N Providence Rd Apt F05
Media, PA 19063-2133

Phone

(570) 332-2389

NPI assigned

Aug 1, 2017

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1501545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501545600000",
    "number": "1689198756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 N PROVIDENCE RD APT F05",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190632133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 N PROVIDENCE RD APT F05",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190632133",
            "telephone_number": "570-332-2389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LALLA",
        "first_name": "DAVID",
        "middle_name": "DOMINIC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-01",
        "last_updated": "2017-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP451619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oscar Laborda, M.D.
• Susanna Angelica Lack, PSY.D.
• Steven E Ladenheim, MD
• Hazel Lafleur-Vetter, MSS, PH.D.
• Ryan Laliberte
• Johanna Catherine Lamb, PA-C
• Christopher Brian Lambert, M.S.P.T.
• Meryl Lammers, MT-BC
• William Schaffer Lampe IV, MS, DPT
• Zoey Landau

• Pharmacist in Media, PA
• Providers in Media, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.