Individual
VIKAS LALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2700 NW STEWART PKWY, ROSEBURG, OR 97470-1281
(541) 677-1773
(541) 677-1794
Mailing address
PO BOX 708850, SANDY, UT 84070-8850
(801) 352-9500
(801) 352-9502
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
44003
KY
207R00000X
Internal Medicine Physician
Primary
50044
MN
Other
Enumeration date
05/20/2008
Last updated
06/22/2017
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