Lc Internal Medicine Clinic | |
384 Fulwar Skipwith Rd Baton Rouge LA 70810-5705 | |
(225) 590-8006 | |
(225) 666-9999 |
Full Name | Lc Internal Medicine Clinic |
---|---|
Speciality | Internal Medicine |
Location | 384 Fulwar Skipwith Rd, Baton Rouge, Louisiana |
Authorized Official Name and Position | Lalitha Chalasani (MD) |
Authorized Official Contact | 2254054076 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Lc Internal Medicine Clinic 8110 Summa Ave Baton Rouge LA 70809-3419 Ph: (225) 200-7428 | Lc Internal Medicine Clinic 384 Fulwar Skipwith Rd Baton Rouge LA 70810-5705 Ph: (225) 590-8006 |
NPI Number | 1467739789 |
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Provider Enumeration Date | 11/15/2011 |
Last Update Date | 02/01/2024 |
Medicare PECOS PAC ID | 9335315605 |
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Medicare Enrollment ID | O20120109000490 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467739789 | NPI | - | NPPES |
2345583 | Medicaid | LA | |
1544507 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 12672R (Louisiana) | Primary |
Provider Name | Lalitha Chalasani |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1447258462 PECOS PAC ID: 2466405766 Enrollment ID: I20050228000112 |
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