Lakshi has practiced at the VA Portland Health Care System in Portland, Oregon for the past 27 years and manages a busy psoriasis clinic. She is a past president of the DNA and past chair of the Nurse Practitioner Society. She currently serves as the co-chair for the Dermatology Specialty Practice Group for the American Association of Nurse Practitioners. She also serves as a member of the Emeritus Medical Board of the National Psoriasis Foundation and serves as an associated editor of their journal, Psoriasis and Psoriatic Arthritis. She received the Outstanding Allied Health Award by the NPF in 2017. She owes her knowledge and accomplishments to the DNA and NPS and the amazing colleagues and friends she has made through the organization.