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NPI Code Detail

MEDICARE: LAVANYA DORADLA

MEDICARE: LAVANYA DORADLA
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
1183500000XPharmacistRPH70675CA

General Provider Information

NPI Number : 1992105209
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAVANYA DORADLA
Provider Business Mailing Address
First Line : 2703 ORO DAM BLVD E
Second Line :
City : OROVILLE
State : CA
Zip : 95966-5116
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2703 ORO DAM BLVD E
Second Line :
City : OROVILLE
State : CA
Zip : 95966-5116
Country : US
Telephone Number : 530-534-1283
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2014
Last Update Date : 08/25/2014

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Directions to “ LAVANYA DORADLA ” Practice Location

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