Little Lantern Care LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

M7387 Issued in TX

Legal business name

LITTLE LANTERN CARE LLC

Practice address

2705 Damsel Bella Blvd
Lewisville, TX 75056-6169

Phone

(979) 358-0435

NPI assigned

Jun 3, 2015

Organization subpart

No

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

Authorized official

Name

Biju Lukose, MD

Title

Ceo

Phone

(979) 358-0435

Specialties & licenses 3

Addresses

Tax ID family

Little Lantern Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Little Lantern Care

  • Surgery Physician
  • Carrollton, TX
  • NPI 1306383294
  NPD tax ID

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

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489449600000",
    "number": "1972983104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2705 DAMSEL BELLA BLVD",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750566169",
            "telephone_number": "979-358-0435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 DAMSEL BELLA BLVD",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750566169",
            "telephone_number": "979-358-0435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE LANTERN CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-03",
        "last_updated": "2017-03-14",
        "status": "A",
        "authorized_official_last_name": "LUKOSE",
        "authorized_official_first_name": "BIJU",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "979-358-0435",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "TX",
            "license": "M7387",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "TX",
            "license": "M7387",
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Lim, D.D.S.
• Grace Elizabeth Limpanasriphong, MS, CF-SLP
• Rickie Renee Lindley, RDH, BS, NCPT
• Gina Marie Linn, LPT
• Stuart Lipton, M.D.
• Tiffany Anne Littlepage, OTR
• Livongo Health LLC
• Livongo Health LLC
• LLT Associates
• Lacey Lockhart

• General Practice Physician in Lewisville, TX
• Providers in Lewisville, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; 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.