Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 103936 | CA |
N | 207L00000X | Anesthesiologist | 25MA08775900 | NJ |
NPI | 1003074097 |
---|---|
Provider Name | Dr. Parul Pravinchandra Lakhlani |
First Address | Perth Amboy, NJ 08861-3654 |
Second Address | Perth Amboy, NJ 08861-3654 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/05/2008 |
Last Update Date | 05/08/2010 |