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Individual

DR. SRILATHA ATLURI LAZZARO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

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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