Provider Demographics
NPI:1225125800
Name:VEMULAPALLI, LAKSHMI RAJESWARI (MD)
Entity Type:Individual
Prefix:MRS
First Name:LAKSHMI
Middle Name:RAJESWARI
Last Name:VEMULAPALLI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 BAYNIST DRIVE
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16505
Mailing Address - Country:US
Mailing Address - Phone:814-833-8140
Mailing Address - Fax:814-452-4174
Practice Address - Street 1:215 HOLLAND ST
Practice Address - Street 2:LAKE ERIE WOMENS CENTER
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16507
Practice Address - Country:US
Practice Address - Phone:814-453-5058
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2014-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD025794E207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA822226Medicaid
VE413477Medicare ID - Type Unspecified
PA822226Medicaid