Organization
WESTSIDE RURAL HEALTH SERVICES, LLC
Active
Other names
westside rural health clinic oc Plaquemine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CYRIAC T LUKE MD (OWNER/ CEO)
(225) 687-0248
Entity
Organization
Contact information
Practice address
24730 PLAZA DR, PLAQUEMINE, LA 70764-6827
(225) 687-0248
(225) 687-8395
Mailing address
24730 PLAZA DR, PLAQUEMINE, LA 70764-6827
(225) 687-0248
(225) 687-8395
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
04572R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1529460
—
LA
Enumeration date
02/27/2007
Last updated
04/26/2010
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