Individual
LALITH C URAGODA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2312 N NEVADA AVE STE 305, COLORADO SPRINGS, CO 80907-5318
(719) 471-7064
(719) 776-5459
Mailing address
2312 N NEVADA AVE STE 305, COLORADO SPRINGS, CO 80907-5318
(719) 471-7064
(719) 776-5459
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
33441
KY
207RP1001X
Pulmonary Disease Physician
Primary
CDRH.0050637
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
#000000512196
ANTHEM PIN - CHS, INC.
KY
05
—
200507380
—
IN
05
—
6434341100
—
KY
Enumeration date
08/10/2005
Last updated
10/01/2024
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