Individual
ROOP LAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
340 W LINCOLN ST, BELLEVILLE, IL 62220-1900
(618) 233-6044
(618) 233-3287
Mailing address
340 W LINCOLN ST, BELLEVILLE, IL 62220-1900
(618) 233-6044
(618) 233-3287
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036-074237
IL
207RC0001X
Clinical Cardiac Electrophysiology Physician
036074237
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360742371
—
IL
01
—
060009695
RR MEDICARE
—
01
—
098955
HEALTH ALLIANCE
—
01
—
12477
ESSENCE
—
01
—
16187
BCBS MO
MO
01
—
187709
HEALTHLINK
—
01
—
236567
WELLCARE
—
01
—
2507217
SECURE HORIZONS
—
01
—
259513
UHC
—
01
—
37099690002
GHP
—
01
—
42237
CMR
—
01
—
C41351
MERCY
—
Enumeration date
07/05/2006
Last updated
04/14/2017
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