Healthcare Provider Details

I. General information

NPI: 1457772774
Provider Name (Legal Business Name): LUKE JOSEPH HUNTER DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/05/2014
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3601 DESIARD ST
MONROE LA
71203-4352
US

IV. Provider business mailing address

3601 DESIARD ST
MONROE LA
71203-4352
US

V. Phone/Fax

Practice location:
  • Phone: 318-397-1574
  • Fax: 318-397-1672
Mailing address:
  • Phone: 318-397-1574
  • Fax: 318-397-1672

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberPCTA.000048
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code213EP1101X
TaxonomyPrimary Podiatric Medicine Podiatrist
License NumberDPM.200054
License Number StateLA
# 3
Primary TaxonomyN
Taxonomy Code213ES0000X
TaxonomySports Medicine Podiatrist
License NumberPCTA.000048
License Number StateLA
# 4
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberDPM.200054
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: