| Lalikan Med Llc | |
|
2926 Mountain Industrial Blvd Tucker GA 30084-3012 | |
| (678) 860-5415 | |
| Not Available |
| Full Name | Lalikan Med Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2926 Mountain Industrial Blvd, Tucker, Georgia |
| Authorized Official Name and Position | Syamala Devi Erramilli (PRESIDENT) |
| Authorized Official Contact | 6788605416 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lalikan Med Llc 5944 Norfolk Chase Rd Peachtree Corners GA 30092-3516 Ph: (678) 860-5415 | Lalikan Med Llc 2926 Mountain Industrial Blvd Tucker GA 30084-3012 Ph: (678) 860-5415 |
| NPI Number | 1235515321 |
|---|---|
| Provider Enumeration Date | 07/31/2015 |
| Last Update Date | 07/31/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235515321 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 47896 (Georgia) | Primary |
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