MEDICARE: LAKSHMI SOMARAJU

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	03334970	OH

General Provider Information

NPI Number	:	1174097232
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAKSHMI SOMARAJU

Provider Business Mailing Address
First Line	:	1057 BETHEL RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43220-2609
Country	:	US
Telephone Number	:	614-725-3335
Fax Number	:	614-725-4567

Provider Business Practice Location Address
First Line	:	1057 BETHEL RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43220-2609
Country	:	US
Telephone Number	:	614-725-3335
Fax Number	:	614-725-4567

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/11/2019
Last Update Date	:	01/11/2019

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Directions to “ LAKSHMI SOMARAJU ” Practice Location

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