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Individual

LAKSHMINIRANJAN VANIMIREDDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2840 NORTHUP WAY STE 100, BELLEVUE, WA 98004
(425) 502-5096
(425) 774-5171
Mailing address
2840 NORTHUP WAY STE 100, BELLEVUE, WA 98004
(425) 502-5096
(425) 774-5171

Taxonomy

Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
4073
WA

Other

Enumeration date
12/03/2014
Last updated
12/03/2014
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