Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 14-57009-061 | KS |
Y | 363L00000X | Nurse Practitioner | 44978 | KS |
NPI | 1003865411 |
---|---|
Provider Name | Mrs. Lalitha Rao |
First Address | Topeka, KS 66610-1553 |
Second Address | Topeka, KS 66622-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2006 |
Last Update Date | 08/07/2007 |