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NPI Code Detail

MEDICARE: DR. LEELAMMA CYRIAC LUKE MD

MEDICARE: DR. LEELAMMA CYRIAC LUKE MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease Physician05866RLA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1023039047
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LEELAMMA CYRIAC LUKE MD
Provider Business Mailing Address
First Line : 1340 POYDRAS ST
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70112-1221
Country : US
Telephone Number : 504-412-1860
Fax Number :
Provider Business Practice Location Address
First Line : 1401 N FOSTER DR
Second Line :
City : BATON ROUGE
State : LA
Zip : 70806-1818
Country : US
Telephone Number : 225-987-9000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/23/2006
Last Update Date : 01/15/2009

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