Individual
LAXMI VASUDHA DEVISETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4 PRINCESS RD STE 101, LAWRENCEVILLE, NJ 08648-2322
(609) 896-1414
Mailing address
2200 ST LUKES BLVD STE 104, EASTON, PA 18045-5665
(484) 658-9330
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
25MA12073000
NJ
207W00000X
Ophthalmology Physician
4301100487
MI
207W00000X
Ophthalmology Physician
87151
GA
207W00000X
Ophthalmology Physician
MD439537
PA
Other
Enumeration date
05/12/2008
Last updated
01/16/2025
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