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).
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 |
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 |
Street Address |
2705 DAMSEL BELLA BLVD |
City | LEWISVILLE |
State | TX |
Zip Code | 75056-6169 |
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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---|---|---|---|---|
1184253650 | Geneiq LLC | Clinical Medical Laboratory | 2716 Standridge Drive, Floor 2 Ste 204, The Colony, TX 75056 | 2020-04-06 |
1952947863 | Luisa Collins | Registered Nurse | 6805 Main St., Ste 430 #660, The Colony, TX 75056 | 2019-11-26 |
1013473248 | Nongnuch Kuligowski | Family Medicine | 5040 Tx-121 Suite 200, Lewisville, TX 75056 | 2019-02-12 |
1639655806 | The Regenerative Institute of Texas | Pain Medicine | 3716 Standridge Dr Ste 200, The Colony, TX 75056 | 2018-07-11 |
1619484656 | Cornelius Hathorn | Non-emergency Medical Transport (VAN) | 16208 Windhaven Pkwy, Apt 1307, Lewisville, TX 75056 | 2017-12-29 |
1194236646 | 5 Star Dental | Dentist | 3751 Main Street, Suite 1000, The Colony, TX 75056 | 2017-10-23 |
1396254405 | Rosemore Eye Care Pa | Optometrist | 4901 Windhaven Pkwy, Suite 100, The Colony, TX 75056 | 2017-09-21 |
1356877724 | Jamie Mutschler | Speech-Language Pathologist | 220 Eastland Drive, Lewisville, TX 75056 | 2017-05-04 |
1831639160 | Jacqueline Nguyen Bang | Counselor | 2287 Sir Amant Drive, Lewisville, TX 75056 | 2017-03-06 |
1417495052 | Mary Alice Neville | Physician Assistant | 3600 Main Street, Suite 100, The Colony, TX 75056 | 2017-02-02 |
Find all providers in zip 75056 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
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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Find all providers with the same taxonomy |
City | LEWISVILLE |
Zip Code | 75056 |
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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.