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Individual
LAKSHMI KOLLU
Active
Individual
LAKSHMI KOLLU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME140018
FL
390200000X
Student in an Organized Health Care Education/Training Program
4301109900
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103576600
—
FL
01
—
LK622
MEDICARE
FL
Enumeration date
06/20/2016
Last updated
08/09/2019
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