Organization
JAY LUKE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN B LUKE III MD (PHYSICIAN/OWNER)
(337) 289-9702
Entity
Organization
Contact information
Practice address
155 HOSPITAL DR, STE 410, LAFAYETTE, LA 70503-2852
(337) 289-9700
(337) 289-9702
Mailing address
155 HOSPITAL DR, SUITE 410, LAFAYETTE, LA 70503-2852
(337) 289-9700
(337) 289-9702
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000850
—
LA
Enumeration date
05/28/2014
Last updated
05/28/2014
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