# LC INTERNAL MEDICINE CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LC INTERNAL MEDICINE CLINIC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467739789
- **Authorized official:** LALITHA CHALASANI MD (MD)
- **Authorized official phone:** (225) 405-4076

## Contact information

- **Practice address:** 384 FULWAR SKIPWITH RD, BATON ROUGE, LA 70810-5705
- **Practice address phone:** (225) 590-8006
- **Practice address fax:** (225) 666-9999
- **Mailing address:** 8110 SUMMA AVE, BATON ROUGE, LA 70809-3419
- **Mailing address phone:** (225) 200-7428
- **Mailing address fax:** (225) 666-9999

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 12672R | LA | Yes |

## Other

- **Enumeration date:** 11/15/2011
- **Last updated:** 02/01/2024