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

Demetra Lally

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1376421867

Demetra Lally is a Student in an Organized Health Care Education/Training Program in Pocatello, Idaho. Registered with an NPI since 2025.

In the registry since
2025
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Practice location Address checks out

921 S 8th Ave Stop 8253
Pocatello, ID 83209-0002
Phone: (208) 282-4726
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Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1376421867
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 23, 2025
Last updated in NPPESAugust 23, 2025
Certification dateAugust 23, 2025
Mailing address921 S 8th Ave Stop 8253, Pocatello, ID 83209-0002

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