Individual
DR. LUKE ANTHONY CUSIMANO III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7777 HENNESSY BLVD STE 102, BATON ROUGE, LA 70808-4363
(716) 859-7757
Mailing address
7353 HIGHLAND RD STE B-398, BATON ROUGE, LA 70808-6641
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
MD.207875
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/20/2010
Last updated
01/10/2019
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