Individual
LUCAS AINSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15790 PAUL VEGA MD DR, HAMMOND, LA 70403
(985) 345-2700
(985) 230-6480
Mailing address
PO BOX 2668, HAMMOND, LA 70404-2668
(985) 345-2700
(985) 230-6480
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
308680
LA
207P00000X
Emergency Medicine Physician
T-2902
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
MS
Other
Enumeration date
05/26/2015
Last updated
07/10/2019
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