LAKSHMI R. BEERAVOLU

BELLEVILLE, IL
NPI1376745117
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2084N0600X Psychiatry & Neurology, Clinical Neurophysiology
(Licence: IL  036131387)
Additional Taxonomies2084N0400X Psychiatry & Neurology, Neurology
(Licence: MO  2014029851)
2084N0600X Psychiatry & Neurology, Clinical Neurophysiology
(Licence: MO  2014029851)
Enumeration Date2007-06-04
Last Update Date2014-09-05
Business Address
-- LAKSHMI R. BEERAVOLU MD
4550 MEMORIAL DR STE. A480
BELLEVILLE, IL 62226-5372
Phone number: 618-234-4531
Mailing Address
-- LAKSHMI R. BEERAVOLU MD
4550 MEMORIAL DR STE. A480
BELLEVILLE, IL 62226-5372
Phone number: 618-234-4531