Individual
MRS. LALITHA RAYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3727 W WISCONSIN AVE, MILWAUKEE, WI 53208-3182
(414) 291-2626
(414) 431-0050
Mailing address
3727 W WISCONSIN AVE, MILWAUKEE, WI 53208-3182
(414) 291-2626
(414) 431-0050
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
20884020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30220800
—
WI
Enumeration date
04/18/2006
Last updated
08/28/2012
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