Individual
LAKSHMI SHUKLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
136 BROADWAY, COSTA MESA, CA 92627-2818
(949) 548-5111
Mailing address
P.O. BOX 8500, NEWPORT BEACH, CA 92658-8500
(949) 548-5111
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
A33993
CA
Other
Enumeration date
09/25/2007
Last updated
09/21/2023
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