Individual
DR. LAKSHMI PATURU REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10700 MEDLOCK BRIDGE RD, SUITE 102, DULUTH, GA 30097-8456
(678) 615-7878
(770) 685-1241
Mailing address
10700 MEDLOCK BRIDGE RD, SUITE 102, DULUTH, GA 30097-8456
(678) 615-7878
(770) 685-1241
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
60595
GA
207KA0200X
Allergy Physician
60595
GA
2080N0001X
Neonatal-Perinatal Medicine Physician
2004008552
MO
2080P0201X
Pediatric Allergy/Immunology Physician
60595
GA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
2004008552
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209005701
—
MO
Enumeration date
07/18/2006
Last updated
10/28/2011
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