Individual
DR. LAKSHMI BHAVANI POTLURI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6071 W OUTER DR, DETROIT, MI 48235-2624
(313) 933-3250
Mailing address
17 CASS ST APT 10, WEST ROXBURY, MA 02132-4825
(269) 501-1962
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/15/2021
Last updated
04/15/2021
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