| 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 | This clinic does not participate in Medicare Program. |
| 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 |
|---|---|
| Provider Enumeration Date | 11/15/2011 |
| Last Update Date | 02/01/2024 |
| Certification Date | 02/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467739789 | NPI | - | NPPES |
| 2345583 | Medicaid | LA | |
| 1544507 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 12672R (Louisiana) | Primary |
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