Individual
MRS. LAKSHMI GURURAJARAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
166 LYONS AVE, FAMILY HEALTH CENTER PEDIATRICS, NEWARK, NJ 07112
(973) 926-3787
(973) 923-2978
Mailing address
322 S LIVINGSTON AVE, LIVINGSTON, NJ 07039
(973) 533-0539
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
31199MA
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1623401
—
NJ
Enumeration date
08/02/2006
Last updated
07/08/2007
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