Individual
JEEVAK LAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5887 N RICKFIELD RD, JACKSON, MI 49201-8314
(517) 788-9932
Mailing address
5887 N RICKFIELD RD, JACKSON, MI 49201-8314
(517) 788-9932
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301052150
MI
Other
Enumeration date
12/22/2010
Last updated
12/22/2010
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