Individual
VIJAYA LAKSHMI NALLAMOTHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
19 FORT EVANS RD NE STE C, LEESBURG, VA 20176-4487
(703) 737-2110
(703) 737-2111
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(571) 423-5698
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0101254287
VA
2084P0800X
Psychiatry Physician
D0074148
MD
Other
Enumeration date
06/18/2008
Last updated
07/25/2022
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