Individual
LAKSHMI YALAMANCHALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
8028 CARNEGIE BLVD STE 100, FORT WAYNE, IN 46804-5789
(260) 373-9200
(260) 425-6914
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01050292A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200246880
—
IN
Enumeration date
08/24/2006
Last updated
11/03/2025
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