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NPI Code Detail

MEDICARE: LIPIKA CHAKRABARTY

MEDICARE:   LIPIKA  CHAKRABARTY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianRBT-26-524696

General Provider Information

NPI Number : 1114853868
Entity Type Code : Individual
Provider Name (Legal Business Name) : LIPIKA CHAKRABARTY
Provider Business Mailing Address
First Line : 7410 MONTCLAIR DR
Second Line :
City : SHREVEPORT
State : LA
Zip : 71105-5020
Country : US
Telephone Number : 318-797-8500
Fax Number :
Provider Business Practice Location Address
First Line : 10450 ELLERBE RD
Second Line :
City : SHREVEPORT
State : LA
Zip : 71106-7730
Country : US
Telephone Number : 318-797-8500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2026
Last Update Date : 06/22/2026

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Directions to “ LIPIKA CHAKRABARTY ” Practice Location

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