| Moturu Lalitha Kumari | |
|
4983 Bluebonnet Blvd Ste A Baton Rouge LA 70809-3094 | |
| (225) 169-1103 | |
| (225) 761-5155 |
| Full Name | Moturu Lalitha Kumari |
|---|---|
| Speciality | Psychologist - Prescribing (medical) |
| Location | 4983 Bluebonnet Blvd Ste A, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Kimberly Marie Barriner (MANAGER/BILLING) |
| Authorized Official Contact | 2257691103 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moturu Lalitha Kumari 4983 Bluebonnet Blvd Ste A Baton Rouge LA 70809-3094 Ph: (225) 169-1103 | Moturu Lalitha Kumari 4983 Bluebonnet Blvd Ste A Baton Rouge LA 70809-3094 Ph: (225) 169-1103 |
| NPI Number | 1417376047 |
|---|---|
| Provider Enumeration Date | 04/10/2014 |
| Last Update Date | 06/16/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417376047 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP0016X | Psychologist - Prescribing (medical) | BK3590002 (Louisiana) | Primary |
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