Individual
TABITHA D LUKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1709 RIDGEFIELD RD, THIBODAUX, LA 70301-4333
(985) 446-7341
Mailing address
1115 WEBER ST, FRANKLIN, LA 70538-4124
(337) 828-2550
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
221523
LA
363LP2300X
Primary Care Nurse Practitioner
Primary
221523
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2574787
—
LA
Enumeration date
08/03/2021
Last updated
03/26/2026
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