Shesha Sivarama Pras Lakkaraju Venkata

NPI #1053916247 in Temple, Texas

Provider Information

NPI Number
1053916247
Entity Type
Individual
Name
Shesha Sivarama Pras Lakkaraju Venkata
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Enumeration Date
Dec 3, 2020
Last Updated
Dec 3, 2020

Practice Location

Address
1605 S 31 ST SUITE 19
City
Temple
State
Texas
ZIP Code
76508-0001
Phone
(254) 215-9100

Specialties & Taxonomy Codes

Specialty
Pharmacist

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