Individual
LALITHA KODURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1370 CRANSTON ST, CRANSTON, RI 02920-6758
(401) 943-4530
(401) 943-5107
Mailing address
53 OLD RIVER RD, LINCOLN, RI 02865-1307
(401) 333-6283
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
PENDING
RI
Other
Enumeration date
05/23/2006
Last updated
12/28/2008
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