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NPI Code Detail

MEDICARE: MS. VICTORIA LYNN LAL AGNP

MEDICARE: MS. VICTORIA LYNN LAL AGNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LG0600XGerontology Nurse Practitioner2014038386MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1609272897
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. VICTORIA LYNN LAL AGNP
Provider Business Mailing Address
First Line : PO BOX 7412011
Second Line :
City : CHICAGO
State : IL
Zip : 60674-2011
Country : US
Telephone Number : 314-362-5298
Fax Number : 888-824-2176
Provider Business Practice Location Address
First Line : 1 BARNES JEWISH HOSPITAL PLZ
Second Line : DIV SURG ACCS
City : SAINT LOUIS
State : MO
Zip : 63110-1003
Country : US
Telephone Number : 314-362-5298
Fax Number : 888-824-2176
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2014
Last Update Date : 12/16/2025

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