Individual
LUKE MINAO BAUDOIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1501 KINGS HWY, DEPT OF FAMILY MEDICINE, SHREVEPORT, LA 71103-4228
(318) 675-5815
(318) 675-7950
Mailing address
1501 KINGS HWY, DEPT OF FAMILY MEDICINE, SHREVEPORT, LA 71103-4228
(318) 675-5815
(318) 675-7950
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21573
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1672998
—
LA
01
—
24320
LA CDS
LA
Enumeration date
02/14/2006
Last updated
03/07/2023
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