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Individual

ASHA R LALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
6835 AUSTIN CENTER BLVD, AUSTIN, TX 78731-3166
(512) 346-6611
(512) 231-5203
Mailing address
PO BOX 26726, AUSTIN, TX 78755-0726
(512) 407-8686
(512) 406-6216

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L1918
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
165762901
TX
05
165762902
TX
05
165762903
TX
Enumeration date
07/29/2006
Last updated
09/20/2012
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