Individual
LAKSHMI LAKSHMANAN GANESAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11234 ANDERSON ST # MC-1516, LOMA LINDA, CA 92354-2804
(909) 558-4174
Mailing address
11234 ANDERSON ST # MC-1516, LOMA LINDA, CA 92354-2804
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A127348
CA
2080P0210X
Pediatric Nephrology Physician
A127348
CA
Other
Enumeration date
04/24/2012
Last updated
11/18/2021
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