Individual
SHANKAR LAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
615 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604-8209
(423) 930-8337
(423) 926-1049
Mailing address
615 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604-8209
(423) 930-8337
(423) 926-1049
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/20/2023
Last updated
06/20/2023
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