# LAKSHMI K DASARI PC

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

## Provider details

- **NPI number:** 1710182829
- **Authorized official:** LAKSHMI K DASAREE (LAKSHMI K DASAREE MD)
- **Authorized official phone:** (901) 763-0730

## Contact information

- **Practice address:** 6005 PARK AVE, STE 720B, MEMPHIS, TN 38119-5202
- **Practice address phone:** (901) 763-0730
- **Practice address fax:** (901) 763-0270
- **Mailing address:** PO BOX 3034, CORDOVA, TN 38088-3034
- **Mailing address phone:** (901) 763-0579

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | MD30076 | TN | Yes |

## Other

- **Enumeration date:** 06/19/2007
- **Last updated:** 01/18/2013