Individual
DR. BATLAGUNDU S LAKSHMINARAYANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 HEALTH CENTER DR, MATTOON, IL 61938-4644
(217) 238-4960
(217) 238-4951
Mailing address
PO BOX 372, MATTOON, IL 61938-0372
(217) 868-2812
(217) 258-2216
Taxonomy
Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
036-088965
IL
207RC0000X
Cardiovascular Disease Physician
Primary
036088965
IL
2085U0001X
Diagnostic Ultrasound Physician
036-088965
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036088965
—
IL
Enumeration date
07/23/2006
Last updated
01/18/2024
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