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1790775195
RAVI KIRAN LAKKARAJU
BAY CITY, MI
NPI
1790775195
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: MI RL077577)
Enumeration Date
2005-10-26
Last Update Date
2010-01-25
Business Address
Mr. RAVI KIRAN LAKKARAJU MD
3190 E MIDLAND RD
BAY CITY, MI 48706-2755
Phone number: 989-667-6650
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Mailing Address
Mr. RAVI KIRAN LAKKARAJU MD
6022 E MEADOW DR
BAY CITY, MI 48706-9081
Phone number: 989-667-6650
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