Organization
LITTLE LANTERN CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BIJU M LUKOSE (CEO)
(469) 546-5304
Entity
Organization
Contact information
Practice address
4541 N JOSEY LN STE 110, CARROLLTON, TX 75010-4622
(469) 788-8588
(469) 788-7800
Mailing address
2705 DAMSEL BELLA BLVD, THE COLONY, TX 75056-6169
(469) 850-2677
(940) 400-2582
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
M7387
TX
208D00000X
General Practice Physician
M7387
TX
Other
Enumeration date
01/30/2017
Last updated
07/17/2023
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