Ascends Natural Medicine is passionate about helping patients reach their naturopathic goals and we are committed to providing you with the most valuable tools to succeed. Dr. Lakshmi Nandyala is a licensed Naturopathic medical doctor (NMD) in the state of Arizona. She has been practicing medicine in the State of Arizona since 2013. When it comes to your health, choosing the right doctor and clinic is an important decision. You want to choose someone who puts you first, who listens to your needs and understands how the body works.