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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 |
