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Individual

DR. JOSEPH ANTHONY DELUCCA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
3101 RIDGELAKE DR, METAIRIE, LA 70002-4926
(504) 831-2671
(504) 831-2646
Mailing address
3101 RIDGELAKE DR, METAIRIE, LA 70002-4926
(504) 831-2671
(504) 831-2646

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DPM.PD025R
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03979
BLUE CROSS
LA
05
1324001
LA
01
826480248
RAILROAD MEDICARE
LA
Enumeration date
12/20/2006
Last updated
10/22/2011
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