Lavanya Kolluri M.D.

NPI 1043255144 - Internal Medicine - 207R00000X

NPI Details
NPI 1043255144
Gender Female
Enumeration Date 06/20/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
3132 OLD JACKSONVILLE RD
SPRINGFIELD IL, 62704-7400, US
Phone (217) 862-0062
Fax (217) 862-0064
Business Location
3132 OLD JACKSONVILLE RD
SPRINGFIELD IL, 62704-7401, US
Phone (217) 862-0062
Fax (217) 862-0064
Toxanomy
Taxonomy Code 207R00000X
License State
License Number
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According to our database, Lavanya Kolluri M.D. NPI is 1043255144, taxonomy code is 207R00000X Lavanya Kolluri M.D. physically located at 3132 Old Jacksonville Rd, Springfield IL, 62704-7400. NPI Number Lavanya Kolluri M.D. has the Individual type.

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1043255144 NPI number is provided on an as is basis without warranty of any kind. 1043255144 is maintained by the National Plan & Provider Enumeration System. The contents of Lavanya Kolluri M.D. are for informational purposes only.