Provider Demographics
NPI:1346458866
Name:LAL, ANITA (MD)
Entity Type:Individual
Prefix:DR
First Name:ANITA
Middle Name:
Last Name:LAL
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Gender:F
Credentials:MD
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Mailing Address - Street 1:1448 WOODWARD AVE
Mailing Address - Street 2:APT #610
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48226-2000
Mailing Address - Country:US
Mailing Address - Phone:586-258-8895
Mailing Address - Fax:313-745-9299
Practice Address - Street 1:3990 JOHN R ST
Practice Address - Street 2:HARPER HOSPITAL, DEPARTMENT OF PATHOLOGY
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48201-2018
Practice Address - Country:US
Practice Address - Phone:313-745-8555
Practice Address - Fax:313-745-9299
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
MI4301086257207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology