Provider Demographics
NPI:1730115957
Name:RAJPUT, LAXMANSNGH K (L AC)
Entity Type:Individual
Prefix:
First Name:LAXMANSNGH
Middle Name:K
Last Name:RAJPUT
Suffix:
Gender:M
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:316 6TH AVE NW
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55901-2727
Mailing Address - Country:US
Mailing Address - Phone:507-202-0955
Mailing Address - Fax:
Practice Address - Street 1:606 2ND ST SW
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55902-2931
Practice Address - Country:US
Practice Address - Phone:507-252-5232
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1125171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist