Individual
LAKSHMI KAVITHA KALLURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MBBS
Contact information
Practice address
1414 9TH AVE, ALTOONA, PA 16602-2415
(814) 946-1655
Mailing address
620 HOWARD AVE, ALTOONA, PA 16601-4804
(814) 889-2011
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD477429
PA
Other
Enumeration date
05/23/2016
Last updated
03/14/2024
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