Individual
LAXMINARAYANA RAO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
7255 OLD OAK BLVD, 106, MIDDLEBURG HEIGHTS, OH 44130-3329
(440) 826-3030
Mailing address
PO BOX 74145, CLEVELAND, OH 44194-4145
(888) 328-4492
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
35-038990
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0306118
—
OH
Enumeration date
06/07/2006
Last updated
07/08/2007
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