Individual
DR. LAKMALI CHANDIMA RANATHUNGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
30 E APPLE ST, SUITE 6250, DAYTON, OH 45409-2939
(937) 208-8394
(937) 208-8388
Mailing address
10893 BLACKBIRD CT, MIAMISBURG, OH 45342-0864
(937) 866-6128
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35.093445
OH
390200000X
Student in an Organized Health Care Education/Training Program
11013161A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2961666
—
OH
Enumeration date
04/22/2008
Last updated
11/09/2015
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