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Individual

AJIT LALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
800 W MYRTLE ST, INDEPENDENCE, KS 67301-3240
(620) 331-2200
(620) 332-3281
Mailing address
800 W MYRTLE ST, INDEPENDENCE, KS 67301-3240

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0436092
KS

Other

Enumeration date
02/18/2010
Last updated
01/17/2013
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