Basic Information
Provider Information
NPI: 1831532472
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LALOR
FirstName: KATHRYN
MiddleName: BOWDOIN
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1600 7TH AVE S STE 314
Address2:  
City: BIRMINGHAM
State: AL
PostalCode: 352331711
CountryCode: US
TelephoneNumber: 2059967850
FaxNumber:  
Practice Location
Address1: 1600 7TH AVE S STE 314
Address2:  
City: BIRMINGHAM
State: AL
PostalCode: 35233
CountryCode: US
TelephoneNumber: 2059967850
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/13/2013
LastUpdateDate: 08/12/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084N0402XMD.38526ALY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology

No ID Information.


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