Individual
LAKSHMI SATYA SUPRIYA NAGIREDDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1600 S ANDREWS AVE # GME, FORT LAUDERDALE, FL 33316-2510
(954) 459-2091
Mailing address
1114 HIGHGATE DR, FESTUS, MO 63028-4097
(636) 236-3063
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
105453
GA
207K00000X
Allergy & Immunology Physician
Primary
34.015583
OH
390200000X
Student in an Organized Health Care Education/Training Program
UO6296
FL
Other
Enumeration date
07/24/2018
Last updated
10/06/2025
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