Dr. Lokesh Kumar Damodaran
Dental Public Health
2937 Il 178
North Utica
, Illinois 61373
Dr. Lokesh Kumar Damodaran
Dental Public Health
2937 Il 178
North Utica
, Illinois 61373
(424) 283-0005
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About
Features
Specialties
- Dental Public Health
Languages spoken
- English
Location
First Address
- Dr. Lokesh Kumar Damodaran
- 24920 Mound St
- Loma Linda, CA
- Zip : 92350-0202
- Phone : (424) 283-0005
Second Address
- Dr. Lokesh Kumar Damodaran
- 2937 Il 178
- North Utica, IL
- Zip : 61373
- Phone : (815) 993-3101
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223D0001X | Dental Public Health | 019031083 | IL |
National Provider Identifier
| NPI | 1659800316 |
|---|---|
| Provider Name | Dr. Lokesh Kumar Damodaran |
| First Address | Loma Linda, CA 92350-0202 |
| Second Address | North Utica, IL 61373 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/06/2017 |
| Last Update Date | 07/06/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.