Individual
LANCE EUGENE STUKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1542 TULANE AVE # 734, NEW ORLEANS, LA 70112-2865
(504) 568-4752
Mailing address
1542 TULANE AVE # 734, NEW ORLEANS, LA 70112-2865
(504) 568-4752
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
202238
LA
2086S0102X
Surgical Critical Care Physician
202238
LA
2086S0127X
Trauma Surgery Physician
Primary
202238
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1103233
—
LA
01
—
BP3-0021141
INSTITUTIONAL PERMIT
—
Enumeration date
06/13/2007
Last updated
12/11/2019
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