Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 045769 | CT |
NPI | 1497835979 |
---|---|
Provider Name | Lubna Pal |
First Address | Orange, CT 06477-3003 |
Second Address | New Haven, CT 06511 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2006 |
Last Update Date | 03/10/2007 |