Individual
LAKSHMI KANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6043 WINTHROP COMMERCE AVE STE 201, RIVERVIEW, FL 33578-4274
(813) 291-0629
(813) 515-3018
Mailing address
6043 WINTHROP COMMERCE AVE STE 201, RIVERVIEW, FL 33578-4274
(813) 291-0629
(813) 515-3018
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
MD.42810
AL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
ME163735
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270484
—
AL
Enumeration date
07/20/2012
Last updated
12/20/2023
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