Individual
VINAY BHUSHAN REDDY LAKKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
469 HIGHWAY 50, GILLETTE, WY 82718-9330
(207) 387-9850
(307) 387-9890
Mailing address
7710 MERCY RD STE 202, OMAHA, NE 68124-2353
(402) 280-4238
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
17594A
WY
2084N0400X
Neurology Physician
8928
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17594A
WY STATE LICENSE
WY
05
—
241650600
—
WY
Enumeration date
08/12/2020
Last updated
05/16/2025
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