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Individual

ASHWIN KUMAR LAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
81 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1125
(801) 213-7649
Mailing address
81 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1125
(801) 213-7649

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
03611925
IL
2080P0202X
Pediatric Cardiology Physician
Primary
9098717-1205
UT
2080P0202X
Pediatric Cardiology Physician
A107940
CA
2080P0202X
Pediatric Cardiology Physician
MD448137
PA

Other

Enumeration date
03/11/2008
Last updated
12/15/2021
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