Individual
LAVANYA EASWARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12605 E 16TH AVE, AURORA, CO 80045-2545
(614) 849-2563
Mailing address
10191 BROCK RD, PLAIN CITY, OH 43064-1296
(614) 849-2563
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
TL.0009204
CO
390200000X
Student in an Organized Health Care Education/Training Program
Primary
TL.0009204
CO
Other
Enumeration date
04/20/2022
Last updated
06/28/2022
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