Organization
MOTURU LALITHA KUMARI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY MARIE BARRINER (MANAGER/BILLING)
(225) 769-1103
Entity
Organization
Contact information
Practice address
4983 BLUEBONNET BLVD STE A, BATON ROUGE, LA 70809-3094
(225) 169-1103
(225) 761-5155
Mailing address
4983 BLUEBONNET BLVD STE A, BATON ROUGE, LA 70809-3094
(225) 169-1103
(225) 761-5155
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
BK3590002
LA
Other
Enumeration date
04/10/2014
Last updated
06/16/2014
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