Individual
SAMANTHA DREW LALAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2000 6TH AVE S, BIRMINGHAM, AL 35233-2110
(205) 934-9999
Mailing address
812 ROCKFORD LN, BIRMINGHAM, AL 35209-3143
(706) 851-4390
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-122983
AL
Other
Enumeration date
10/09/2012
Last updated
02/01/2024
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