Individual
DR. BALDEV S LALLI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1950 LEE RD, SUITE 105, WINTER PARK, FL 32789-1859
(407) 647-2346
(407) 647-5431
Mailing address
1950 LEE RD, SUITE 105, WINTER PARK, FL 32789-1859
(407) 647-2346
(407) 647-5431
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME69509
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
220558
AVMED
FL
01
—
28934
BCBS
FL
01
—
P00276700
RAIL ROAD MEDICARE
FL
Enumeration date
03/31/2006
Last updated
07/08/2007
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