LC Internal Medicine Clinic LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

12672R Issued in LA

Legal business name

LC INTERNAL MEDICINE CLINIC LLC

Doing business as

LC Internal Medicine Clinic

Practice address

384 Fulwar Skipwith Rd
Baton Rouge, LA 70810-5705

Phone

(225) 590-8006

Fax

(225) 666-9999

NPI assigned

Nov 15, 2011

Last updated

Feb 1, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lalitha Chalasani, MDNPI 1447258462

Title

MD

Phone

(225) 405-4076

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• LC INTERNAL MEDICINE CLINIC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lalitha Chalasani, M.D.

  • Internal Medicine Physician
  • Baton Rouge, LA
  • NPI 1447258462
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1321315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706745600000",
    "number": "1467739789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8110 SUMMA AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093419",
            "telephone_number": "225-200-7428",
            "fax_number": "225-666-9999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "384 FULWAR SKIPWITH RD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708105705",
            "telephone_number": "225-590-8006",
            "fax_number": "225-666-9999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10101 Park Rowe Ave",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708101686",
            "country_code": "US",
            "telephone_number": "225-906-2999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LC INTERNAL MEDICINE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-15",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A",
        "authorized_official_last_name": "CHALASANI",
        "authorized_official_first_name": "LALITHA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "225-405-4076",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "12672R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2345583",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1544507",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LC INTERNAL MEDICINE CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Internal Medicine Physician in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.