Individual provider · Type 1 NPI

Lahari Kolli

Student in an Organized Health Care Education/Training Program · New York, NY

NPI number 1790627735 Active

Practice location

622 W 168th St
New York, NY 10032-3720

Mailing address

7191 Pennsbury Ln
Gurnee, IL 60031-9114

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1790627735

Lahari Kolli's National Provider Identifier is 1790627735, issued on Apr 8, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New York, NY. The record was last updated on Apr 8, 2026.