Individual
CARSON LUKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 HENRY CLAY AVE, NEW ORLEANS, LA 70118-5720
(601) 405-4170
Mailing address
66 COUNTY ROAD 409, OXFORD, MS 38655-9226
(601) 405-4170
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
916621
MS
363L00000X
Nurse Practitioner
Primary
906925
MS
Other
Enumeration date
11/17/2022
Last updated
10/03/2024
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