Provider Demographics
NPI:1700266509
Name:TURAGA, LALITA P (DPM)
Entity Type:Individual
Prefix:
First Name:LALITA
Middle Name:P
Last Name:TURAGA
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7808 PACIFIC AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98408
Mailing Address - Country:US
Mailing Address - Phone:253-473-5566
Mailing Address - Fax:253-473-6436
Practice Address - Street 1:7808 PACIFIC AVE STE 1
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98408
Practice Address - Country:US
Practice Address - Phone:253-473-5566
Practice Address - Fax:253-473-6436
Is Sole Proprietor?:No
Enumeration Date:2015-06-05
Last Update Date:2021-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPOD001369213E00000X
WAPO61001004213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2155619Medicaid