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Lalitha Bandi

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NPI Number Detailed Information

Provider Information:

Name: Lalitha Bandi
Gender: F
Provider License Number If Given: 54539

NPI Information:

NPI: 1942203138
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 5/23/2005

Last Update Date: 1/17/2019

Provider Business Mailing Address:

Address: 663 LANIER PARK DR
Gainesville, GA 30501
Phone Number: 6784500202
Fax Number: 6784500080

Provider Business Practice Location Address:

Address: 663 LANIER PARK DR
Gainesville, GA 30501
Phone Number: 6784500202
Fax Number: 6784500080

Provider Taxonomy:

Primary: 207RN0300X
Secondary (if any):
State: GA

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