Individual
LALEH REZAEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1425 STATE ST, SUITE 100, NEW ALBANY, IN 47150-4909
(812) 945-2229
(812) 949-2229
Mailing address
1425 STATE ST, SUITE 100, NEW ALBANY, IN 47150-4909
(812) 945-2229
(812) 949-2229
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01048835A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200193210A
—
IN
01
—
351708493
TAX ID#
IN
Enumeration date
09/26/2005
Last updated
11/29/2011
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