Cox, Lakshmi Kolagotla

Cox, Lakshmi Kolagotla is an individual health care provider with primary practice located at 300 Ocean Ave Revere Health Care Center, Revere MA 02151-3675. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Cox, Lakshmi Kolagotla can be contacted via phone (781) 485-6025.

Contact Information

Primary practice address
300 Ocean Ave Revere Health Care Center Revere MA 02151-3675
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 158336 Massachusetts

Profile Details

NPI number 1689630774
LBN Legal business name Cox, Lakshmi Kolagotla
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689630774 NPPES
Massachusetts Other 158336 TUFTS HEALTH PLAN
Massachusetts Other J22476 TUFTS HEALTH PLAN
Massachusetts MEDICAID 0125032 TUFTS HEALTH PLAN

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