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Individual

LAVANYA BHOOPATHY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
535 HOSPITAL RD, NEW RICHMOND, WI 54017-1449
(715) 243-2600
(715) 243-2711
Mailing address
420 DELAWARE STREET SE, MMC 284, MINNEAPOLIS, MN 55455
(612) 626-5454

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
106425
MN
207Q00000X
Family Medicine Physician
55856
MN
207Q00000X
Family Medicine Physician
Primary
71413-20
WI
208M00000X
Hospitalist Physician
55856
MN
208M00000X
Hospitalist Physician
71413-20
WI

Other

Enumeration date
02/02/2010
Last updated
03/18/2021
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