Individual
DR. JAGDISH LAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6977 NEXUS CT, STE. # 101, FAYETTEVILLE, NC 28304-2650
(910) 864-7933
(910) 272-7177
Mailing address
6977 NEXUS CT, STE. # 101, FAYETTEVILLE, NC 28304-2650
(910) 864-7933
(910) 272-7177
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
09900578
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8912136
—
NC
Enumeration date
10/09/2007
Last updated
01/19/2016
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