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Individual

MRS. SWETCHA LANKAPALLI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
45 THOMAS JOHNSON DR STE 209, FREDERICK, MD 21702-4490
(301) 665-6755
Mailing address
2505 ISHAM RANDOLPH DR, HERNDON, VA 20171-4332
(703) 399-5616

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
C0006756
MD
363A00000X
Physician Assistant
Primary
C0006756
MD

Other

Enumeration date
03/26/2018
Last updated
03/26/2018
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