Provider Demographics
NPI:1184255861
Name:PATEL, LALITA CHIMANLAL (PHARM D)
Entity type:Individual
Prefix:DR
First Name:LALITA
Middle Name:CHIMANLAL
Last Name:PATEL
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 S STATE ST
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48104-2005
Mailing Address - Country:US
Mailing Address - Phone:734-769-1804
Mailing Address - Fax:734-769-1842
Practice Address - Street 1:209 S STATE ST
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48104-2005
Practice Address - Country:US
Practice Address - Phone:734-769-1804
Practice Address - Fax:734-769-1842
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-30
Last Update Date:2020-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302042093183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist