Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | PCTA.000048 | LA |
N | 222Z00000X | Podiatrist | PCTA.000048 | LA |
N | 213EP1101X | Primary Podiatric Medicine | DPM.200054 | LA |
N | 2081S0010X | Sports Medicine | PCTA.000048 | LA |
N | 213ES0000X | Sports Medicine | PCTA.000048 | LA |
Y | 213ES0103X | Foot & Ankle Surgery | DPM.200054 | LA |
NPI | 1457772774 |
---|---|
Provider Name | Dr. Luke Joseph Hunter |
First Address | West Monroe, LA 71291-7818 |
Second Address | West Monroe, LA 71291-7818 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/01/2014 |
Last Update Date | 28/10/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
DPM.200054 | LA STATE LICENSE NUMBER (01) | LA |