Provider Demographics
NPI:1790097988
Name:LALANI, NEELOFAR (MD)
Entity Type:Individual
Prefix:DR
First Name:NEELOFAR
Middle Name:
Last Name:LALANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:512 FOUR STONES BLVD
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75056-3893
Mailing Address - Country:US
Mailing Address - Phone:405-414-0072
Mailing Address - Fax:800-697-6409
Practice Address - Street 1:CHARLES WILSON VA OUTPATIENT CLINIC
Practice Address - Street 2:2206 N JOHN REDDITT DR A109
Practice Address - City:LUFKIN
Practice Address - State:TX
Practice Address - Zip Code:75904
Practice Address - Country:US
Practice Address - Phone:936-671-4300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-05
Last Update Date:2023-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2571532084P0802X
MO20180430662084P0802X
KS04-417312084P0802X
OK36062084P0802X
OH35.0960762084P0804X
TXU25462084P0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0802XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Psychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry