MEDICARE: DR. RIZWAN LALANI DMD

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
1	1223P0221X	Pediatric Dentistry	30609	TX
2	1223G0001X	General Practice Dentistry	DN20921	FL
3	1223P0221X	Pediatric Dentistry	DN20921	FL
4	1223P0221X	Pediatric Dentistry	62261	KS

General Provider Information

NPI Number	:	1679973697
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RIZWAN LALANI DMD

Provider Business Mailing Address
First Line	:	2161 SW 164TH AVE
Second Line	:	NONE
City	:	MIRAMAR
State	:	FL
Zip	:	33027-4477
Country	:	US
Telephone Number	:	305-450-6388
Fax Number	:

Provider Business Practice Location Address
First Line	:	1000 N MIDKIFF RD
Second Line	:
City	:	MIDLAND
State	:	TX
Zip	:	79701-2101
Country	:	US
Telephone Number	:	325-550-1758
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/27/2014
Last Update Date	:	03/23/2026

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