Individual
DR. LAKSHMI PENUGONDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
82495
SC
207L00000X
Anesthesiology Physician
BP1-0059533
TX
207L00000X
Anesthesiology Physician
MT202471
PA
208600000X
Surgery Physician
MT202471
PA
Other
Enumeration date
06/13/2012
Last updated
03/18/2021
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