Provider Demographics
NPI:1285616490
Name:LAL, GARIMA (MD)
Entity type:Individual
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First Name:GARIMA
Middle Name:
Last Name:LAL
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Gender:F
Credentials:MD
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Mailing Address - Street 1:17901 NW 5TH ST
Mailing Address - Street 2:SUITE 204
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33029-2810
Mailing Address - Country:US
Mailing Address - Phone:954-885-6575
Mailing Address - Fax:954-885-6572
Practice Address - Street 1:17901 NW 5TH ST
Practice Address - Street 2:SUITE 204
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33029-2810
Practice Address - Country:US
Practice Address - Phone:954-885-6575
Practice Address - Fax:954-885-6572
Is Sole Proprietor?:No
Enumeration Date:2005-11-15
Last Update Date:2021-03-29
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Provider Licenses
StateLicense IDTaxonomies
FLME87224207WX0110X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207WX0110XAllopathic & Osteopathic PhysiciansOphthalmologyPediatric Ophthalmology and Strabismus Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL267567600Medicaid
FL267567600Medicaid