Individual
LEKHA PRASAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
600 N COLLEGE AVE, SUITE 120, GENESEO, IL 61254-1091
(309) 944-5342
(309) 944-8192
Mailing address
600 N COLLEGE AVE, SUITE 120, GENESEO, IL 61254-1091
(309) 944-5342
(309) 944-8192
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036085401
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036085401
—
IL
05
—
1396724274
—
IA
Enumeration date
01/10/2006
Last updated
08/10/2012
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