Provider Demographics
NPI:1497182471
Name:LALA ASSOCIATES, PA
Entity Type:Organization
Organization Name:LALA ASSOCIATES, PA
Other - Org Name:SPROUT PEDIATRICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LISA
Authorized Official - Middle Name:R
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:281-599-7334
Mailing Address - Street 1:PO BOX 116
Mailing Address - Street 2:
Mailing Address - City:BARKER
Mailing Address - State:TX
Mailing Address - Zip Code:77413-0116
Mailing Address - Country:US
Mailing Address - Phone:281-599-7334
Mailing Address - Fax:281-599-7040
Practice Address - Street 1:18338 KINGSLAND BLVD # 210
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77094-1262
Practice Address - Country:US
Practice Address - Phone:281-599-7334
Practice Address - Fax:281-599-7040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-04
Last Update Date:2014-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty