Individual
LOKESH R EDARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
126 COLLEGE ST, BATTLE CREEK, MI 49017-3461
(269) 968-3622
(269) 968-2103
Mailing address
49 S CASS ST, SUITE 1B, BATTLE CREEK, MI 49017-2331
(269) 969-8920
(269) 969-8921
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
LE055658
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102640222
—
MI
Enumeration date
02/14/2006
Last updated
08/15/2011
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