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Individual

DR. LAKSHMANARAJU SIDDA RAJU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2 ROCK ISLAND RD, LIBERAL, KS 67901-3760
(620) 626-5574
(620) 626-5578
Mailing address
2 ROCK ISLAND RD, LIBERAL, KS 67901-3760
(620) 626-5574
(620) 626-5578

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-23607
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04-23607
STATE MEDICAL LICENSE
KS
Enumeration date
06/16/2006
Last updated
01/23/2013
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