Most Relevant Information
Provider Data
| NPI Number: | 1003662172 |
| Provider Name: | LAVANYA NAGARAJAN M.B.B.S. |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/29/2024 |
| Last Updated: | 08/06/2024 |
Provider Practice Location
4201 MEDICAL CENTER DRIVE
MCHENRY
IL
60050
Practice Location Phone/Fax
| Phone: | 8157594726 |
| Fax: |
Provider Mailing Location
4201 MEDICAL CENTER DRIVE
MCHENRY
IL
60050
Provider Mailing Phone/Fax
| Phone: | 8157594726 |
| Fax: |