Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223P0106X | Oral and Maxillofacial Pathology | 4600 | ME |
Y | 1223S0112X | Oral and Maxillofacial Surgeon | 4600 | ME |
N | 1223X0008X | Oral and Maxillofacial Radiology | 4600 | ME |
NPI | 1780995712 |
---|---|
Provider Name | Dr. Luke L'heureux |
First Address | Portland, ME 04102-2102 |
Second Address | Portland, ME 04102-2102 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2010 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1780995712 | ORAL & MAXILLOFACIAL SURGERY (01) | ME |