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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
207RG0100X
Gastroenterology Physician
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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