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Individual

ANUP LAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1231 PINE GROVE AVE, STE 2F, PORT HURON, MI 48060-3500
(810) 982-5200
(810) 982-9776
Mailing address
1231 PINE GROVE AVE, STE 2F, PORT HURON, MI 48060-3500
(810) 982-5200
(810) 982-9776

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
4301070625
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1107410481
BCBSM
MI
01
110G410290
BCN
MI
01
140144
CARE CHOICES
01
4443801
CIGNA
05
4694741110
MI
01
I24051
HAP
Enumeration date
08/31/2006
Last updated
08/01/2016
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