Provider Demographics
NPI:1043316151
Name:LODHIA, KANCHAN LAL (MD)
Entity Type:Individual
Prefix:DR
First Name:KANCHAN
Middle Name:LAL
Last Name:LODHIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:225 NW MOCKINGBIRD RD
Mailing Address - Street 2:
Mailing Address - City:LAWTON
Mailing Address - State:OK
Mailing Address - Zip Code:73507-1608
Mailing Address - Country:US
Mailing Address - Phone:580-250-0789
Mailing Address - Fax:580-458-2458
Practice Address - Street 1:225 NW MOCKINGBIRD RD
Practice Address - Street 2:
Practice Address - City:LAWTON
Practice Address - State:OK
Practice Address - Zip Code:73507-1608
Practice Address - Country:US
Practice Address - Phone:580-250-0789
Practice Address - Fax:580-458-2458
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OK22218207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology