# LITTLE LANTERN CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** US Medical Clinics, US Clinics, US Surgical Clinics, US Visiting MD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114409133
- **Authorized official:** BIJU LUKOSE MD (DIRECTOR)
- **Authorized official phone:** (469) 788-8545

## Contact information

- **Practice address:** 4541 N JOSEY LN STE 110, CARROLLTON, TX 75010-4622
- **Practice address phone:** (469) 788-8588
- **Practice address fax:** (469) 788-7800
- **Mailing address:** 4541 N JOSEY LN STE 110C, CARROLLTON, TX 75010-4622
- **Mailing address phone:** (469) 788-8588
- **Mailing address fax:** (469) 788-7800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | M7387 | TX | Yes |

## Other

- **Enumeration date:** 09/06/2018
- **Last updated:** 07/02/2024