Lavanya Kolluri, M.D.

NPI #1043255144 in Springfield, Illinois

Provider Information

NPI Number: 1043255144
Entity Type: Individual
Name: Lavanya Kolluri, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: Jun 20, 2006
Last Updated: Jun 19, 2019

Practice Location

Address: 3132 OLD JACKSONVILLE RD
City: Springfield
State: Illinois
ZIP Code: 62704-7400
Phone: (217) 862-0062

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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