Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | MD463204 | PA |
Y | 207YS0123X | Facial Plastic Surgeon | 311544 | LA |
NPI | 1548552094 |
---|---|
Provider Name | Dr. Adam Luke Honeybrook |
First Address | Lafayette, LA 70508-5784 |
Second Address | Lafayette, LA 70508-5784 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2011 |
Last Update Date | 23/09/2019 |