Provider Demographics
NPI:1700374048
Name:RAJASEKAR, LALITA (RN)
Entity Type:Individual
Prefix:
First Name:LALITA
Middle Name:
Last Name:RAJASEKAR
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5201 SWEET BAY ST APT 101
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-7489
Mailing Address - Country:US
Mailing Address - Phone:405-588-9527
Mailing Address - Fax:
Practice Address - Street 1:5201 SWEET BAY ST APT 101
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-7489
Practice Address - Country:US
Practice Address - Phone:405-588-9527
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-23
Last Update Date:2018-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN443820163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse