Lalka, Stephen Gary

Lalka, Stephen Gary is an individual health care provider with primary practice located at 205 N East Ave , Jackson MI 49201-1753. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Lalka, Stephen Gary can be contacted via phone (517) 205-7481.

Contact Information

Primary practice address
205 N East Ave Jackson MI 49201-1753
Phone: (517) 205-7481
Fax: (313) 876-1305
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 2005-01060 North Carolina
Allopathic & Osteopathic Physicians / Surgery 208600000X 01035930A Indiana
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 2005-01060 North Carolina
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 01035930A Indiana
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 4301500422 Michigan

Profile Details

NPI number 1194737478
LBN Legal business name Lalka, Stephen Gary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2006
Last updated Aug 1st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194737478 NPPES
South Carolina MEDICAID N0106A
South Carolina Other P00245249
South Carolina Other 1396N
South Carolina MEDICAID 1194737478
South Carolina MEDICAID 5901224

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