Provider Demographics
NPI:1508312000
Name:BUDDHINENI, LAKSHMI
Entity Type:Individual
Prefix:DR
First Name:LAKSHMI
Middle Name:
Last Name:BUDDHINENI
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 1:214 DANIEL WEBSTER HWY
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03060-5504
Mailing Address - Country:US
Mailing Address - Phone:603-888-4354
Mailing Address - Fax:
Practice Address - Street 1:214 DANIEL WEBSTER HWY
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-5504
Practice Address - Country:US
Practice Address - Phone:603-888-4354
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-25
Last Update Date:2016-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH3352183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3352OtherPHARMACIST REGISTRATION NO.