Individual
NAVEEN LAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
604 W BERRY ST, FORT WAYNE, IN 46802-2106
(260) 423-1331
(260) 422-1046
Mailing address
604 W BERRY ST, FORT WAYNE, IN 46802-2106
(260) 423-1331
(260) 422-1046
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
01050563A
IN
207RI0011X
Interventional Cardiology Physician
01050563A
IN
207UN0901X
Nuclear Cardiology Physician
01050563A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200237610A
—
IN
Enumeration date
08/29/2006
Last updated
09/29/2020
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