Individual
ANUPMA LAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7916 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4140
(260) 434-6402
(260) 434-6323
Mailing address
6920 POINTE INVERNESS WAY STE 200, FORT WAYNE, IN 46804-7934
(260) 434-6402
(260) 434-6389
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01053659A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200926830
—
IN
Enumeration date
05/26/2006
Last updated
12/06/2021
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