Individual
LAKUMA R MOGILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1840 AMHERST ST, WINCHESTER, VA 22601-2808
(540) 536-8000
(540) 536-7681
Mailing address
1840 AMHERST ST, WINCHESTER, VA 22601-2808
(540) 536-8000
(540) 536-7681
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101236421
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010177260
—
VA
01
—
153891
ANTHEM
VA
05
—
3810001768
—
WV
Enumeration date
03/18/2006
Last updated
03/18/2021
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