Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0105X | Surgery of the Hand | A91704 | CA |
Y | 2086S0122X | Plastic and Reconstructive Surgery | A91704 | CA |
NPI | 1699799023 |
---|---|
Provider Name | Dr. Shankar Lakshman |
First Address | Pasadena, CA 91105-3045 |
Second Address | Pasadena, CA 91105-3045 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2006 |
Last Update Date | 08/09/2016 |