Individual
VIJAY DEV K. LAKKAPPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3950 AUSTELL RD, BOX 22, AUSTELL, GA 30106-1121
(470) 732-4022
(470) 732-4023
Mailing address
3950 AUSTELL RD, BOX 22, AUSTELL, GA 30106-1121
(470) 732-4022
(470) 732-4023
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
056885
GA
208M00000X
Hospitalist Physician
Primary
056885
GA
Other
Enumeration date
07/19/2006
Last updated
02/16/2016
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