Individual
DR. SUNDER M LAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 CLUB VILLAGE DR, SUITE 102, COLUMBIA, MO 65203-4409
(573) 447-4400
(573) 303-0140
Mailing address
3062 S OLD RIDGE RD, COLUMBIA, MO 65203-9547
(573) 445-9290
(573) 303-0140
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
R2H47
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202448718
—
MO
Enumeration date
10/25/2006
Last updated
07/12/2012
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