Individual
VENKATESH LAKSHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3520 AIRPORT BLVD NW, STE F, WILSON, NC 27896-8674
(252) 206-5622
(252) 206-5623
Mailing address
3520 AIRPORT BLVD NW STE F, WILSON, NC 27896-8674
(252) 206-5622
(252) 206-5623
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
200500073
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1388C
BCBS
NC
01
—
193133
MEDCOST
NC
01
—
510600219
CIGNA
NC
05
—
5900445
—
NC
01
—
7407289
AETNA
NC
Enumeration date
10/04/2006
Last updated
11/11/2024
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