Individual
DR. SANJEEV SHIVAJI LAHANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.S.A.
Contact information
Practice address
5811 WINAMAC LAKE DR, APT.1A, MISHAWAKA, IN 46545-8499
(574) 273-9121
Mailing address
5811 WINAMAC LAKE DR, APT.1A, MISHAWAKA, IN 46545-8499
(574) 273-9121
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
238000172
IL
Other
Enumeration date
03/28/2008
Last updated
11/12/2008
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