Individual
KINNERA LAKSHMI DHANWADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046-7694
(351) 230-3113
Mailing address
104 DOUTY CT, CARY, NC 27519-8852
(351) 230-3113
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/23/2026
Last updated
03/23/2026
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