Organization
CENTER FOR VEIN RESTORATION IA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANJIV LAKHANPAL MD (PRESIDENT)
(855) 830-8346
Entity
Organization
Contact information
Practice address
505 CEDAR CROSS RD STE A, DUBUQUE, IA 52003-7704
(855) 830-8346
(240) 473-4321
Mailing address
7474 GREENWAY CENTER DR STE 1000, GREENBELT, MD 20770-3500
(855) 830-8346
(240) 473-4321
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
Other
Enumeration date
11/29/2019
Last updated
11/29/2019
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