LITTLE LANTERN CARE LLC


Address: 2705 Damsel Bella Blvd, Lewisville, TX 75056-6169
Phone: 9793580435

LITTLE LANTERN CARE LLC (NPI# 1972983104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972983104
Entity Type Organization
Organization Name LITTLE LANTERN CARE LLC
Practice Address 2705 Damsel Bella Blvd
Lewisville
TX 75056-6169
Practice Telephone 9793580435
Mailing Telephone 9793580435
Enumeration Date 2015-06-03
Last Update Date 2017-03-14
Authorized Official Name BIJU LUKOSE (CEO)
Authorized Official Telephone 9793580435
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208600000X Surgery M7387 TX Allopathic & Osteopathic Physicians
N 261Q00000X Clinic/Center Ambulatory Health Care Facilities
Y 208D00000X General Practice M7387 TX Allopathic & Osteopathic Physicians

Office Location

Street Address 2705 DAMSEL BELLA BLVD
City LEWISVILLE
State TX
Zip Code 75056-6169

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861829715 Dr.biju Mathew Lukose Md Facs P.l.l.c. Surgery 2705 Damsel Bella Blvd, Lewisville, TX 75056-6169 2013-10-08

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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

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1275955478 Mh Health Care Services, PC General Practice 2785 Rockbrook Dr Ste 103, C/o Lewisville Employee Health Center, Lewisville, TX 75067-5243 2014-01-08

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Competitor

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City LEWISVILLE
Zip Code 75056

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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