Individual
DR. LALITA MITTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
700 HIGH ST, WILLIAMSPORT, PA 17701-3100
(570) 321-2850
(570) 321-2851
Mailing address
1201 GRAMPIAN BLVD, SUITE 1K, WILLIAMSPORT, PA 17701-1900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD440410
PA
208M00000X
Hospitalist Physician
MD440410
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1025100700001
—
PA
Enumeration date
06/19/2007
Last updated
12/16/2021
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