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General NPI Number Information
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NPI Number | 1508822206
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Entity Type | Individual
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Provider Name | LALITHA K RAO
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Gender | Female
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Dates
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Enumeration Date | 04/22/2006
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Last Update Date | 06/12/2008
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Provider Practice Location Address
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Address Line | 477 WEST PERRY ST
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City | TIFFIN
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State | OH
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Zip | 44883
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Country | US
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Telephone | 419-447-9993
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1108
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City | ANN ARBOR
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State | MI
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Zip | 48106-1108
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Country | US
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Telephone | 734-677-7400
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Fax | 734-677-7400
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 35047808R
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License Number State | OH
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