Individual
LAKSHMI HASITHA CHENNU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1106 REYNOLDS ST STE 100, MONROE, NC 28112-4376
(704) 289-5443
Mailing address
1106 REYNOLDS ST STE 100, MONROE, NC 28112-4376
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/30/2024
Last updated
04/30/2024
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