Valluri, Lalitha
Valluri, Lalitha is an individual health care provider with primary practice located at 2316 South St , Lafayette IN 47904-2971. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Valluri, Lalitha can be contacted via phone (765) 742-1567.Contact Information
Primary practice address
2316 South St
Lafayette IN 47904-2971
Phone: (765) 742-1567
Fax: (765) 742-2750
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 01053607A | Indiana |
Profile Details
| NPI number | 1124009576 |
|---|---|
| LBN Legal business name | Valluri, Lalitha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 10th, 2005 |
| Last updated | Jan 31st, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124009576 | NPPES |
| Other | 11330984 | CAQH | |
| Other | 000000345300 | CAQH | |
| MEDICAID | 200496230A | CAQH |
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