Provider Demographics
NPI:1922380914
Name:LALIA, JOSEPH FRANK (DO)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:FRANK
Last Name:LALIA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2730 AVENUE AU SOLEIL
Mailing Address - Street 2:
Mailing Address - City:GULF STREAM
Mailing Address - State:FL
Mailing Address - Zip Code:33483-6134
Mailing Address - Country:US
Mailing Address - Phone:631-807-9154
Mailing Address - Fax:
Practice Address - Street 1:1805 N FLAGLER DR APT 304
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-6548
Practice Address - Country:US
Practice Address - Phone:954-203-3584
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-15
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS133002084P0800X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry