# RAVI K LAKKARAJU MD INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Poway Spine and Pain
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245646959
- **Authorized official:** RAVI K LAKKARAJU MD (PRESIDENT)
- **Authorized official phone:** (858) 485-1846

## Contact information

- **Practice address:** 15725 POMERADO RD STE 105, POWAY, CA 92064-2057
- **Practice address phone:** (858) 485-1846
- **Practice address fax:** (858) 485-8676
- **Mailing address:** 15725 POMERADO RD STE 105, POWAY, CA 92064-2057
- **Mailing address phone:** (858) 485-1846
- **Mailing address fax:** (858) 485-8676

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0000X | Pain Medicine Physician | C55361 | CA | Yes |

## Other

- **Enumeration date:** 07/02/2014
- **Last updated:** 07/02/2014