# SHANMUGAM LAKSHMANAN SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265498463
- **Authorized official:** DR. SHANMUGAM LAKSHMANAN MD (PRESIDENT)
- **Authorized official phone:** (618) 548-5061

## Contact information

- **Practice address:** 111 E ROGERS ST, SALEM, IL 62881-2902
- **Practice address phone:** (618) 548-5061
- **Practice address fax:** (618) 568-5079
- **Mailing address:** 111 E ROGERS ST, SALEM, IL 62881-2902
- **Mailing address phone:** (618) 548-5061
- **Mailing address fax:** (618) 568-5079

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208C00000X | Colon & Rectal Surgery Physician | OH2617602 | IL | Yes |

## Other

- **Enumeration date:** 04/25/2006
- **Last updated:** 11/14/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 036051027 | — | IL |