Healthcare Provider Details

I. General information

NPI: 1467262584
Provider Name (Legal Business Name): MAHEK LALANI PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/10/2025
Last Update Date: 01/10/2025
Certification Date: 01/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 NW 84TH AVE
PLANTATION FL
33324-1817
US

IV. Provider business mailing address

2047 PALM BEACH LAKES BLVD
WEST PALM BEACH FL
33409-6522
US

V. Phone/Fax

Practice location:
  • Phone: 800-531-1587
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number9118880
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: