Individual
DR. SRILATHA ATLURI LAZZARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2414 KOHLER MEMORIAL DR, SHEBOYGAN, WI 53081-3129
(920) 457-4461
(920) 459-1483
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
036.121282
IL
207K00000X
Allergy & Immunology Physician
5497920
WI
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
54979
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100012188
—
WI
Enumeration date
08/04/2008
Last updated
03/05/2025
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