Provider Demographics
NPI:1366429847
Name:RAMESH, LAXMI (MD)
Entity type:Individual
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First Name:LAXMI
Middle Name:
Last Name:RAMESH
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Gender:F
Credentials:MD
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Mailing Address - Street 1:70 EAST ST
Mailing Address - Street 2:GREATER LAWRENCE FAMILY HEALTH CENTER
Mailing Address - City:METHUEN
Mailing Address - State:MA
Mailing Address - Zip Code:01844-4597
Mailing Address - Country:US
Mailing Address - Phone:978-683-3491
Mailing Address - Fax:978-683-3472
Practice Address - Street 1:70 EAST ST
Practice Address - Street 2:GREATER LAWRENCE FAMILY HEALTH CENTER
Practice Address - City:METHUEN
Practice Address - State:MA
Practice Address - Zip Code:01844-4597
Practice Address - Country:US
Practice Address - Phone:978-683-3491
Practice Address - Fax:978-683-3472
Is Sole Proprietor?:No
Enumeration Date:2005-12-27
Last Update Date:2014-03-11
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Provider Licenses
StateLicense IDTaxonomies
MA226636207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1303775Medicaid