Organization
LEGACY PHYSIATRY GROUP NORTH CAROLINA
Active
Other names
Legacy Physiatry Group NC
Organization subpart
No
Provider details
NPI number
Authorized official
VENKATESH LAKSHMAN MD (CEO/PRESIDENT)
(972) 881-4688
Entity
Organization
Contact information
Practice address
3520 AIRPORT BLVD NW STE D, WILSON, NC 27896-8674
(855) 655-7777
Mailing address
850 CENTRAL PKWY E STE 275, PLANO, TX 75074-5542
(972) 881-4688
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
08/25/2021
Last updated
01/05/2022
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