Individual
PRATIKSHA YALAKKISHETTAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
150 PARK ST, LAWRENCE, MA 01841-2517
(978) 685-1770
Mailing address
150 PARK ST, LAWRENCE, MA 01841-2517
(978) 685-1770
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
292610
MA
Other
Enumeration date
03/21/2019
Last updated
11/05/2025
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