Individual
LAKSHMAN RAO NAGALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.,
Contact information
Practice address
1331 BELFIORE WAY, WINDERMERE, FL 34786-8131
(407) 810-3407
Mailing address
1331 BELFIORE WAY, WINDERMERE, FL 34786-8131
(407) 810-3407
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
ME79305
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
260159100
—
FL
Enumeration date
10/20/2006
Last updated
11/30/2016
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