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Individual

LAKSHMI KODE SAMMARCO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4795 DRAKE RD, CINCINNATI, OH 45243-4119
(513) 213-9330
(877) 766-4557
Mailing address
4795 DRAKE RD, CINCINNATI, OH 45243-4119
(513) 213-9330
(877) 766-4557

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
35058809
OH
2085R0202X
Diagnostic Radiology Physician
Primary
35058809
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0229363
OH
Enumeration date
10/04/2005
Last updated
05/11/2011
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