Provider Demographics
NPI:1578449153
Name:LALLI, SKYLAR LYNN
Entity type:Individual
Prefix:
First Name:SKYLAR
Middle Name:LYNN
Last Name:LALLI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1026 MILL CIR APT 80
Mailing Address - Street 2:
Mailing Address - City:ALLIANCE
Mailing Address - State:OH
Mailing Address - Zip Code:44601-5177
Mailing Address - Country:US
Mailing Address - Phone:330-942-2458
Mailing Address - Fax:
Practice Address - Street 1:1026 MILL CIR APT 80
Practice Address - Street 2:
Practice Address - City:ALLIANCE
Practice Address - State:OH
Practice Address - Zip Code:44601-5177
Practice Address - Country:US
Practice Address - Phone:330-942-2458
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-12
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH602640560523376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide