Organization
LC INTERNAL MEDICINE CLINIC LLC
Active
Other names
LC INTERNAL MEDICINE CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
LALITHA CHALASANI MD (MD)
(225) 405-4076
Entity
Organization
Contact information
Practice address
384 FULWAR SKIPWITH RD, BATON ROUGE, LA 70810-5705
(225) 590-8006
(225) 666-9999
Mailing address
8110 SUMMA AVE, BATON ROUGE, LA 70809-3419
(225) 200-7428
(225) 666-9999
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12672R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1544507
—
LA
05
—
2345583
—
LA
Enumeration date
11/15/2011
Last updated
02/01/2024
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