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General NPI Number Information
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NPI Number | 1033067038
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Entity Type | Individual
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Provider Name | LAKSHMANAN SURESH DDS, MS, PHD
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Gender | Male
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Dates
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Enumeration Date | 03/17/2026
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Last Update Date | 03/17/2026
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Provider Practice Location Address
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Address Line | 55 AMHERST VILLA RD
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City | BUFFALO
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State | NY
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Zip | 14225-1400
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Country | US
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Telephone | 800-960-1080
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Fax |
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Provider Business Mailing Address
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Address Line | 55 AMHERST VILLA RD
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City | BUFFALO
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State | NY
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Zip | 14225-1400
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Country | US
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Telephone | 800-960-1080
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZP0105X
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Taxonomy Name | Clinical Pathology/Laboratory Medicine Physician
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License Number | SUREL1
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License Number State | NY
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