Organization
SHANMUGAM LAKSHMANAN SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANMUGAM LAKSHMANAN MD (PRESIDENT)
(618) 548-5061
Entity
Organization
Contact information
Practice address
111 E ROGERS ST, SALEM, IL 62881-2902
(618) 548-5061
(618) 568-5079
Mailing address
111 E ROGERS ST, SALEM, IL 62881-2902
(618) 548-5061
(618) 568-5079
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
OH2617602
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036051027
—
IL
Enumeration date
04/25/2006
Last updated
11/14/2007
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