Individual
DR. MICHAEL LANCE KRALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19 WOODLAND STREET, SUITE 11, HARTFORD, CT 06105
(860) 246-7273
(860) 246-5828
Mailing address
19 WOODLAND STREET, SUITE 11, HARTFORD, CT 06105
(860) 246-7273
(860) 246-5828
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
026257
CT
207KA0200X
Allergy Physician
Primary
026257
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001262575
—
CT
Enumeration date
02/10/2006
Last updated
10/13/2010
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