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Individual

LAKSHMI AGGARWAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2514 E DUPONT RD STE 100, FORT WAYNE, IN 46825-1619
(260) 484-8830
(260) 483-1911
Mailing address
2514 E DUPONT RD STE 100, FORT WAYNE, IN 46825-1619
(260) 484-8830
(260) 483-1911

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
01050794A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000111210
ANTHEM
IN
01
000000667589
ANTHEM
IN
05
200233020
IN
05
3044897
OH
Enumeration date
08/10/2005
Last updated
05/06/2020
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