Organization
MOTURU LALITHA KUMARI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KUMARI L MOTURU (OWNER)
(225) 769-1103
Entity
Organization
Contact information
Practice address
4983 BLUEBONNET BLVD STE A, BATON ROUGE, LA 70809-3086
(225) 769-1103
(225) 761-5155
Mailing address
4983 BLUEBONNET BLVD STE A, BATON ROUGE, LA 70809-3086
(225) 769-1103
(225) 761-5155
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD07562R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972088
—
LA
01
—
2084P0800X
TAXONOMY
LA
Enumeration date
06/21/2010
Last updated
02/05/2018
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