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Individual

LALITHA K RAO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
477 WEST PERRY ST, TIFFIN, OH 44883
(419) 447-9993
Mailing address
PO BOX 1108, ANN ARBOR, MI 48106-1108
(734) 677-7400
(734) 677-7400

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35047808R
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000131477
BCBS
OH
05
0513242
OH
01
11656843
CAQH
OH
01
260003668
RR MEDICARE
OH
01
341398058
SELECTCARE
OH
01
751523
BUCKEYE - MENTAL HEALTH
01
A15341
HEALTH ALLIANCE PLAN
OH
Enumeration date
04/22/2006
Last updated
06/12/2008
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