Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | A38209 | CA |
NPI | 1003850199 |
---|---|
Provider Name | Vijayalakshmi Lakshmanan |
First Address | Arcadia, CA 91007-7330 |
Second Address | Arcadia, CA 91007-7330 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2006 |
Last Update Date | 08/07/2007 |