Individual
DR. LUKE ALLEN WALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 HENRY CLAY AVE, NEW ORLEANS, LA 70118-5720
(504) 896-9589
(504) 896-9311
Mailing address
200 HENRY CLAY AVE, NEW ORLEANS, LA 70118-5720
(504) 896-9589
(504) 896-9311
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
MD.203242
LA
208000000X
Pediatrics Physician
MD.203242
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007528
—
LA
Enumeration date
10/30/2007
Last updated
02/19/2024
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