Individual
DR. PRATIBHA BOBBY LAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5701 W CHARLESTON BLVD, SUITE 207, LAS VEGAS, NV 89146-1217
(702) 750-0313
(702) 487-3197
Mailing address
1930 VILLAGE CENTER CIR, #3-604, LAS VEGAS, NV 89134-6299
(949) 509-4423
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
M1863
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12473
MEDICAL LICENSE
NV
01
—
35082545
MEDICAL LICENSE NUMBER
OH
Enumeration date
11/10/2005
Last updated
05/16/2016
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