Individual
MRS. PUSHPA LALAJI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2878 FIVE FORKS TRICKUM RD, 2A, LAWRENCEVILLE, GA 30044-5896
(678) 344-8700
(678) 344-8600
Mailing address
2878 FIVE FORKS TRICKUM RD, 2A, LAWRENCEVILLE, GA 30044-5896
(678) 344-8700
(678) 344-8600
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
64585
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
64585
LICENSE
GA
Enumeration date
08/03/2005
Last updated
06/26/2012
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