Individual
LAKSHMI KONA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1609 EGLIN ST, HANSCOM AFB, MA 01731-2613
(781) 863-0102
Mailing address
77 WARREN ST, RM 339, BRIGHTON, MA 02135-3601
(617) 562-5359
(617) 562-5415
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
223032
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2099390
—
MA
Enumeration date
04/12/2006
Last updated
12/17/2021
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