Individual
LAKSHMI LAVANYA SODAGUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
67 HIGH ST, SUITE 102, NEWTON, NJ 07860-1705
(973) 579-5009
(973) 579-3009
Mailing address
PO BOX 535, BUDD LAKE, NJ 07828-0535
(973) 579-5009
(973) 579-3009
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
25MA07648000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0082872
—
NJ
01
—
D08472200
CDS
NJ
Enumeration date
10/21/2005
Last updated
03/19/2026
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