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Organization
LEGACY PHYSIATRY GROUP NORTH CAROLINA
Active
Organization
LEGACY PHYSIATRY GROUP NORTH CAROLINA
Active
Other names
Legacy Physiatry Group NC
Organization subpart
No
Provider details
NPI number
Authorized official
VENKATESH LAKSHMAN MD (CEO/PRESIDENT)
(972) 881-4688
Entity
Organization
Contact information
Practice address
3520 AIRPORT BLVD NW STE D, WILSON, NC 27896-8674
(855) 655-7777
Mailing address
850 CENTRAL PKWY E STE 275, PLANO, TX 75074-5542
(972) 881-4688
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
08/25/2021
Last updated
01/05/2022
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