Individual
DR. LAKSHMINARAYANA GAJULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
281 N 12TH ST, SUITE E, LEHIGHTON, PA 18235-1101
(610) 377-6969
(610) 377-9099
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
(484) 862-3295
(846) 644-7659
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD022461E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000571402
—
PA
Enumeration date
10/04/2006
Last updated
03/04/2019
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