Basic Information
| Provider Information | |||||||||
| NPI: | 1962699330 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LAGUDUVA | ||||||||
| FirstName: | LAKSHMI RANI | ||||||||
| MiddleName: | RAMASUBRAMANIAN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2467 RTE 10 E | ||||||||
| Address2: | BUILDING 30 UNIT 1-A | ||||||||
| City: | MORRIS PLAINS | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 079501357 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6509544745 | ||||||||
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| Practice Location | |||||||||
| Address1: | 111 MADISON AVE | ||||||||
| Address2: | SUITE 305 | ||||||||
| City: | MORRISTOWN | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 079606097 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9736831400 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/01/2007 | ||||||||
| LastUpdateDate: | 09/08/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | 25MA08759600 | NJ | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
No ID Information.