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Individual

ALEXIS R DUKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
12 PROFESSIONAL DR, HOUMA, LA 70360
(985) 868-1810
(985) 868-1810
Mailing address
12 PROFESSIONAL DR, HOUMA, LA 70360
(985) 868-1810
(985) 876-3670

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD.202760
LA
207R00000X
Internal Medicine Physician
PGY.1.EKL
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1005321
LA
Enumeration date
08/01/2007
Last updated
03/08/2024
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