Organization
RENEW TMS PC
Active
Other names
Oak Tree TMS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SRILAKSHMI LANKIREDDY MD (OWNER)
(218) 221-0916
Entity
Organization
Contact information
Practice address
215 N 24TH AVE E, DULUTH, MN 55812-1871
(218) 221-0916
Mailing address
215 N 24TH AVE E, DULUTH, MN 55812-1871
(218) 221-0916
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1376706580
INDIVIDUAL NPI
—
Enumeration date
09/30/2021
Last updated
09/30/2021
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