Organization
LUKE LEONARDS APRN
Active
Other names
Luke Leonards APRN
Organization subpart
No
Provider details
NPI number
Authorized official
LUKE MARTIN LEONARDS APRN, FNP-C (OWNER)
(337) 250-0972
Entity
Organization
Contact information
Practice address
2520 N UNIVERSITY AVE, LAFAYETTE, LA 70507-5306
(337) 806-8934
Mailing address
124 KELLOGG AVE, LAFAYETTE, LA 70506-6280
(337) 250-0972
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2486110
—
LA
Enumeration date
03/25/2019
Last updated
12/12/2019
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