Lakshman Sundaram

Medical doctor

Melbourne, United States

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Reveal information

Full name

Lakshman Sundaram

Job Title

Medical Doctor

Location

Melbourne, FL, USA

LIC ID

167506

Current License Expiration Date

31/01/2025

Original Date

15/06/2023

Professional Rank Code

Effective Date

15/06/2023

Board Action Indicator

License Status Description

CLEAR

License Active Status Description

ACTIVE

Country Description

BREVARD

Practice Location Address Line 1

APT 409A 929 DR. DB. TODD JR BLVD

Practice Location Address City

NASHVILLE

Practice Location Address State

Practice Location Address Zipcode

37208

Mode Code

Dispensing Practitioner, In Training Program Receives Fee Reducti

Prescribing Indicator

Dispensing Indicator

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