Provider Demographics
NPI:1316252802
Name:LAL, NEETA (MD)
Entity type:Individual
Prefix:
First Name:NEETA
Middle Name:
Last Name:LAL
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 27128
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84127-0128
Mailing Address - Country:US
Mailing Address - Phone:801-507-9800
Mailing Address - Fax:801-934-3373
Practice Address - Street 1:520 N MARKET PLACE DR STE 200
Practice Address - Street 2:
Practice Address - City:CENTERVILLE
Practice Address - State:UT
Practice Address - Zip Code:84014-4904
Practice Address - Country:US
Practice Address - Phone:801-934-3373
Practice Address - Fax:801-934-3373
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-10
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO20100173712084N0400X
UT9833871-12052084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology