Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lavanya Kolluru, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1063216968

Lavanya Kolluru, MD is a Student in an Organized Health Care Education/Training Program in Milwaukee, Wisconsin. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2801 W Kinnickinnic River Pkwy Ste 250
Milwaukee, WI 53215-3678
Phone: (414) 649-6732
Fax: (414) 649-5840
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1063216968
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 2, 2025
Last updated in NPPESApril 2, 2025
Certification dateApril 2, 2025

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