Individual
LEKSHMINARAYAN RAGHAVAKURUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2000 TALL TREES DR, 504 TALL TREES APT, SCRANTON, PA 18505-2204
(570) 468-4865
Mailing address
2000 TALL TREES DR, 504 TALL TREES APT, SCRANTON, PA 18505-2204
(570) 468-4865
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MT 198537
PA
Other
Enumeration date
01/11/2012
Last updated
01/11/2012
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