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1164527883
LAKSHMA R TIYYAGURA
STOCKTON, CA
NPI
1164527883
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207RG0100X Internal Medicine, Gastroenterology
(Licence: CA A56285)
Enumeration Date
2006-09-14
Last Update Date
2009-05-11
Business Address
-- LAKSHMA R TIYYAGURA MD
420 W ACACIA ST # 18
STOCKTON, CA 95203-2441
Phone number: 209-466-4685
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Mailing Address
-- LAKSHMA R TIYYAGURA MD
PO BOX 7939
STOCKTON, CA 95267-0939
Phone number: 209-466-4685
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