Individual
MANJU LAKRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1011 TIGER BLVD, SUITE 400, CLEMSON, SC 29631-2915
(864) 722-0283
(864) 722-0261
Mailing address
1011 TIGER BLVD, STE 400, CLEMSON, SC 29631-2915
(864) 722-0283
(864) 722-0261
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33844
SC
Other
Enumeration date
07/16/2011
Last updated
07/29/2015
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