Provider Demographics
NPI:1659801157
Name:LAKSHMANAN, UMAMAHESWARI
Entity Type:Individual
Prefix:
First Name:UMAMAHESWARI
Middle Name:
Last Name:LAKSHMANAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5523 FLYERS COVE LN
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-4785
Mailing Address - Country:US
Mailing Address - Phone:832-588-6675
Mailing Address - Fax:
Practice Address - Street 1:5523 FLYERS COVE LN
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-4785
Practice Address - Country:US
Practice Address - Phone:832-588-6675
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP133690363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care