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Individual

LAKSHMI R. BEERAVOLU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4550 MEMORIAL DR, STE. A480, BELLEVILLE, IL 62226-5372
(618) 234-4531
(618) 234-4695
Mailing address
4550 MEMORIAL DR, STE. A480, BELLEVILLE, IL 62226-5372
(618) 234-4531
(618) 234-4695

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
2014029851
MO
2084N0400X
Neurology Physician
ME129984
FL
2084N0600X
Clinical Neurophysiology Physician
Primary
036131387
IL
2084N0600X
Clinical Neurophysiology Physician
2014029851
MO

Other

Enumeration date
06/04/2007
Last updated
01/15/2026
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