Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 036117809 | IL |
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 43476 | AZ |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 43476 | AZ |
NPI | 1689834475 |
---|---|
Provider Name | Devyani Lal |
First Address | Phoenix, AZ 85054-4502 |
Second Address | Phoenix, AZ 85054-4502 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2008 |
Last Update Date | 10/09/2020 |