Individual
LAVANYA RAVINDRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 GENESEE ST BLDG 3, ROCHESTER, NY 14611-3201
(585) 368-3031
(585) 368-3037
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(585) 368-3031
(585) 368-3037
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
296569
NY
Other
Enumeration date
07/28/2015
Last updated
04/15/2021
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