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Search › Illinois › 207R00000X

Lavanya Kolluri, M.D

NPI 1043255144 · on the registry since 2006

Practice

Address
3132 Old Jacksonville Rd
Springfield, IL 62704
Phone
(217) 862-0062
Fax
(217) 862-0064
Organisation at this address
Walgreen Co.
Alternative Care Services
Memorial Expresscare, Llc
Memorial Physician Services
Memorial Physician Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
98

Registry record

Primary taxonomy
207R00000X
207R00000X
Also registered as
207R00000X
Licence states on file
IL, IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-06-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois