| Lakshmi N Koonapu, MD | |
|
Blanchfield Army Community Hospital, 650 Joel Dr, Fort Campbell, KY 42223-5349 | |
| (832) 283-4580 | |
| Not Available |
| Full Name | Lakshmi N Koonapu |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | Blanchfield Army Community Hospital, Fort Campbell, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841266632 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | L8144 (Texas) | Primary |
| Entity Name | The Bortolazzo Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801965082 PECOS PAC ID: 3476554320 Enrollment ID: O20070122000015 |
| Entity Name | Workit Health Mi Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932879079 PECOS PAC ID: 6406101625 Enrollment ID: O20220303000543 |
| Mailing Address | Practice Location Address |
|---|---|
| Lakshmi N Koonapu, MD Blanchfield Army Community Hospital, 650 Joel Dr, Fort Campbell, KY 42223-5349 Ph: (832) 283-4580 | Lakshmi N Koonapu, MD Blanchfield Army Community Hospital, 650 Joel Dr, Fort Campbell, KY 42223-5349 Ph: (832) 283-4580 |
Mr. Douglas Henry, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 605 Joel Dr, Blanchfield Army Community Hospital, Fort Campbell, KY 42223 Phone: 270-798-8372 | |
Gwynetta Maria Luckett, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-8388 | |
Dr. Domenick Paul Nardi Jr., M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-8470 | |
Dr. Jessica Marie Lettieri, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-8400 | |
Dr. Suzanne Marie Wical, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 605-651-4259 | |
Angela M. Uy, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: Blanchfield Army Community Hospital, 650 Joel Drive, Fort Campbell, KY 42223 Phone: 270-798-8372 Fax: 270-956-0180 | |
Dr. Shellon Angela Mcallister-rogers, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 650 Joel Dr, Fort Campbell, KY 42223 Phone: 270-798-8260 Fax: 270-956-0444 |