Individual
LAKSHMI SUBRAMANIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1301 KS HWY 264, LARNED, KS 67550-9365
(620) 285-4453
Mailing address
1301 KS HWY 264, LARNED, KS 67550-9365
(620) 285-4453
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
T-LP 1379
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
121007
INDIVIDUAL PROVIDER NUMBE
KS
Enumeration date
09/28/2006
Last updated
07/08/2007
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