Individual
LALITH P. PREMACHANDRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5323 HARRY HINES BLVD, UTSW NUEROCRITICAL CARE CS7.104B, MC 8855, DALLAS, TX 75390-7201
(214) 648-8513
Mailing address
625 S. NEW BALLAS RD, SUITE 7020 HH, ST. LOUIS, MO 63141
(314) 251-6486
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
R1619
TX
Other
Enumeration date
05/17/2014
Last updated
05/14/2021
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