Individual
LALITH K MISRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO PHD
Contact information
Practice address
990 S PROSPECT ST STE 3, MARION, OH 43302-6283
(740) 383-7910
(740) 375-8129
Mailing address
# L-3652, COLUMBUS, OH 43260-6453
(740) 383-7927
(740) 383-7942
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
34.007451
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000206898
ANTHEM
OH
01
—
1555037
UHC
—
01
—
2056793
CIGNA
—
05
—
2205885
—
OH
01
—
260047857
TRAVELERS MEDICARE
—
01
—
260782000
MAGELLAN MIS
—
01
—
311098079
TAX ID
—
01
—
320201
MT CARMEL BEHAVIORAL HEAL
—
01
—
353077
SUBMITTER NO
—
Enumeration date
05/15/2006
Last updated
01/18/2018
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