Provider Demographics
NPI:1285830653
Name:RANAWEERA, LAKSHIKA M (MD)
Entity Type:Individual
Prefix:
First Name:LAKSHIKA
Middle Name:M
Last Name:RANAWEERA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LAKSHIKA
Other - Middle Name:
Other - Last Name:MUNASINGHE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:222 N 6TH ST
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66502-6057
Mailing Address - Country:US
Mailing Address - Phone:785-565-2962
Mailing Address - Fax:785-565-2999
Practice Address - Street 1:222 N 6TH ST
Practice Address - Street 2:
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66502-6057
Practice Address - Country:US
Practice Address - Phone:785-565-2962
Practice Address - Fax:785-565-2999
Is Sole Proprietor?:No
Enumeration Date:2007-06-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-346622084P0800X
KS0434662174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry