Individual
LUKE JOSEPH FALGOUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
906 E 1ST ST, THIBODAUX, LA 70301-6701
(877) 642-4655
Mailing address
306 N CEDAR ST, LOCKPORT, LA 70374-2151
(985) 805-0829
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/16/2015
Last updated
09/16/2015
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