Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | Q9661 | TX |
NPI | 1073824496 |
---|---|
Provider Name | Dr. Trapper Lalli |
First Address | Dallas, TX 75390-8882 |
Second Address | Dallas, TX 75390-9196 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2010 |
Last Update Date | 17/03/2018 |