# LITTLE LANTERN CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972983104
- **Authorized official:** BIJU LUKOSE MD (CEO)
- **Authorized official phone:** (979) 358-0435

## Contact information

- **Practice address:** 2705 DAMSEL BELLA BLVD, LEWISVILLE, TX 75056-6169
- **Practice address phone:** (979) 358-0435
- **Mailing address:** 2705 DAMSEL BELLA BLVD, LEWISVILLE, TX 75056-6169
- **Mailing address phone:** (979) 358-0435

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | M7387 | TX | — |
| 208D00000X | General Practice Physician | M7387 | TX | Yes |
| 261Q00000X | Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 06/03/2015
- **Last updated:** 03/14/2017