Individual
DR. MADAN LAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D. P.A
Contact information
Practice address
925 N BRIGHTLEAF BLVD, SMITHFIELD, NC 27577-4357
(919) 934-3108
(919) 938-1770
Mailing address
PO BOX 239, SMITHFIELD, NC 27577-0239
(919) 934-3108
(919) 938-1770
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
26839
NC
332H00000X
Eyewear Supplier
Primary
26839
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7950626
—
NC
Enumeration date
04/11/2006
Last updated
03/06/2014
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