Organization
JOSEPH A. DELUCCA, DPM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH A DELUCCA DPM (OWNER)
(504) 831-2671
Entity
Organization
Contact information
Practice address
3101 RIDGELAKE DR, METAIRIE, LA 70002-4926
(504) 831-2671
(504) 831-2646
Mailing address
3101 RIDGELAKE DR, METAIRIE, LA 70002-4926
(504) 831-2671
(504) 831-2646
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
DPMPD025R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03979
BLUE CROSS - LOUISIANA
LA
05
—
1324001
—
LA
01
—
1558425033
INDIVIDUAL NPI
LA
01
—
826480248
RAILROAD MEDICARE
LA
Enumeration date
10/22/2011
Last updated
10/22/2011
Update your record
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