Individual
LAKSHMI KANTHARAO DAVU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 E BRISTOL RD, BURTON, MI 48529-2522
(810) 239-9941
(810) 341-6471
Mailing address
1200 E BRISTOL RD, BURTON, MI 48529-2522
(810) 239-9941
(810) 341-6471
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
5302036575
MI
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
11/21/2019
Last updated
11/28/2019
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