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NPI Code Detail

MEDICARE: LAJWANITY KALRA

MEDICARE:   LAJWANITY  KALRA
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
1363LF0000XFamily Nurse Practitioner357387NY

General Provider Information

NPI Number : 1720965999
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAJWANITY KALRA
Provider Business Mailing Address
First Line : 24 MIDDLENECK RD APT 1C
Second Line :
City : ROSLYN
State : NY
Zip : 11576-1337
Country : US
Telephone Number : 718-704-4488
Fax Number :
Provider Business Practice Location Address
First Line : 24 MIDDLENECK RD APT 1C
Second Line :
City : ROSLYN
State : NY
Zip : 11576-1337
Country : US
Telephone Number : 718-704-4488
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2025
Last Update Date : 03/06/2026

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Directions to “ LAJWANITY KALRA ” Practice Location

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