| Moturu Lalitha Kumari | |
|
4983 Bluebonnet Blvd Ste A Baton Rouge LA 70809-3086 | |
| (225) 769-1103 | |
| (225) 761-5155 |
| Full Name | Moturu Lalitha Kumari |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 4983 Bluebonnet Blvd Ste A, Baton Rouge, Louisiana |
| Authorized Official Name and Position | Kumari L Moturu (OWNER) |
| 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 70809-3086 Ph: (225) 769-1103 | Moturu Lalitha Kumari 4983 Bluebonnet Blvd Ste A Baton Rouge LA 70809-3086 Ph: (225) 769-1103 |
| NPI Number | 1457672735 |
|---|---|
| Provider Enumeration Date | 06/21/2010 |
| Last Update Date | 02/05/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457672735 | NPI | - | NPPES |
| 2084P0800X | Other | LA | TAXONOMY |
| 1972088 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD07562R (Louisiana) | Primary |
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