Individual
LAMIN TARAWALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7248 ELMWOOD AVE, PHILADELPHIA, PA 19142-1533
(267) 292-2876
(267) 292-2936
Mailing address
43-4 REVERE RD, DREXEL HILL, PA 19026-5325
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN290958
PA
Other
Enumeration date
08/31/2017
Last updated
08/31/2017
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