Individual
LALITHA TRIVIKRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
750 W LINCOLN HWY, EXTON, PA 19341-2547
(610) 363-0100
(610) 363-3923
Mailing address
750 W LINCOLN HWY, EXTON, PA 19341-2547
(610) 363-0100
(610) 363-3923
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
217952
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02162485
—
NY
Enumeration date
08/19/2006
Last updated
01/20/2015
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