Organization
LANCASTER SURGICAL ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUNIL V LALLA M.D. (PRESIDENT)
(803) 286-9762
Entity
Organization
Contact information
Practice address
1033 W MEETING ST, LANCASTER, SC 29720-2205
(803) 286-9762
(803) 286-9765
Mailing address
1033 W MEETING ST, LANCASTER, SC 29720-2205
(803) 286-9762
(803) 286-9765
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3021
—
SC
Enumeration date
08/15/2005
Last updated
10/05/2007
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