Individual
DR. LAKSHMI KOLAGOTLA COX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 OCEAN AVE, REVERE HEALTH CARE CENTER, REVERE, MA 02151-3675
(781) 485-6025
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
158336
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0125032
—
MA
01
—
158336
TUFTS HEALTH PLAN
MA
01
—
J22476
BCBS MA
MA
Enumeration date
04/26/2006
Last updated
07/08/2007
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