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NPI Code Detail

MEDICARE: LUKE RAY SHARROCK DO

MEDICARE: LUKE RAY SHARROCK DO
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
1207R00000XInternal Medicine Physician351333LA
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1437852456
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUKE RAY SHARROCK DO
Provider Business Mailing Address
First Line : 2021 PERDIDO ST STE 5128
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70112-1352
Country : US
Telephone Number : 504-568-5600
Fax Number :
Provider Business Practice Location Address
First Line : 1430 TULANE AVE # 8016
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70112-2632
Country : US
Telephone Number : 504-988-7518
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2023
Last Update Date : 05/28/2026

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