Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bartholomew J Lally, PA-C

Individual provider Physician Assistant · NPI 1578011094

Bartholomew J Lally, PA-C is a Physician Assistant in Albuquerque, New Mexico. Licensed in New Mexico. Registered with an NPI since 2016.

Licensed in
NM
In the registry since
2016
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

933 San Mateo Blvd NE Ste 500
Albuquerque, NM 87108-1862
Phone: (505) 204-5150
Fax: (505) 494-1056
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA2016-0077 (NM)

Record details

NPI number1578011094
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 13, 2016
Last updated in NPPESNovember 10, 2020
Certification dateNovember 10, 2020

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