Individual
VIJAYALAKSHMI RAJENDRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 LAKELAND HILLS BLVD, SUITE #2, LAKELAND, FL 33805-3257
(863) 682-8200
(863) 687-4161
Mailing address
1500 LAKELAND HILLS BLVD, SUITE #2, LAKELAND, FL 33805-3257
(863) 682-8200
(863) 687-4161
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME0050181
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13421501
CITRUS PROVIDER
—
Enumeration date
07/13/2006
Last updated
07/08/2007
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