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Individual

LAL C MANGLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
300 S 8TH ST, SUITE 480W, MURRAY, KY 42071-2400
(270) 762-1781
(270) 762-1783
Mailing address
300 S 8TH ST, SUITE 480W, MURRAY, KY 42071-2400
(270) 762-1781
(270) 762-1783

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
19862
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64198625
KY
Enumeration date
06/10/2006
Last updated
08/02/2023
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