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Organization
LITTLE LANTERN CLINIC LLC
Active
Organization
LITTLE LANTERN CLINIC LLC
Active
Other names
US Medical Clinics, US Clinics, US Surgical Clinics, US Visiting MD
Organization subpart
No
Provider details
NPI number
Authorized official
BIJU LUKOSE MD (DIRECTOR)
(469) 788-8545
Entity
Organization
Contact information
Practice address
4541 N JOSEY LN STE 110, CARROLLTON, TX 75010-4622
(469) 788-8588
(469) 788-7800
Mailing address
4541 N JOSEY LN STE 110C, CARROLLTON, TX 75010-4622
(469) 788-8588
(469) 788-7800
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207RG0100X
Gastroenterology Physician
—
NULL
207RG0100X
Gastroenterology Physician
—
—
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
208D00000X
General Practice Physician
Primary
M7387
TX
Other
Enumeration date
09/06/2018
Last updated
07/02/2024
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