Lalita Lalla, M.D.

Individual provider Active NPI Internal Medicine Physician · West Trenton, NJ

NPI 1124112149 · NPPES record last updated Jan 30, 2008

Key facts

NPI
1124112149
Entity type
Individual (NPI type 1)
Primary specialty
Internal Medicine Physician 207R00000X
License
25MA04912100 (NJ)
Practice address
Route 29 & Sullivan Way
West Trenton, NJ 08628
Phone
(609) 633-1500
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA04912100 NJ Yes

Addresses

Primary practice location

Route 29 & Sullivan Way
West Trenton, NJ 08628

Mailing address

38 Foxcroft Dr
Princeton, NJ 08540-4307
Phone (609) 252-0916

Other identifiers

IdentifierTypeStateIssuer
724137C2DOtherNJLEGACY ID

Other providers in West Trenton, NJ

All providers in West Trenton, NJ · Internal Medicine Physician in New Jersey

Sources for this page

Verify at the official NPI Registry.