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Individual

PRITI LAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3400 SPRUCE ST, 6 FOUNDERS, PHILADELPHIA, PA 19104-4206
(215) 662-6503
Mailing address
3400 SPRUCE ST, 6 FOUNDERS, PHILADELPHIA, PA 19104-4206
(215) 662-6503

Taxonomy

Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
MD424086
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1012071260001
PA
Enumeration date
06/19/2006
Last updated
09/10/2015
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