Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 05866R | LA |
NPI | 1023039047 |
---|---|
Provider Name | Dr. Leelamma Cyriac Luke |
First Address | New Orleans, LA 70112-1221 |
Second Address | Baton Rouge, LA 70806-1818 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/07/2006 |
Last Update Date | 15/01/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1328243 | (05) | LA |
E51503 | (02) |