Provider Demographics
NPI:1043234602
Name:LUQUETTE, LOVELACE JOSEPH JR (MD)
Entity Type:Individual
Prefix:DR
First Name:LOVELACE
Middle Name:JOSEPH
Last Name:LUQUETTE
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:219 WATERFORD DR
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70503-5408
Mailing Address - Country:US
Mailing Address - Phone:337-984-8910
Mailing Address - Fax:
Practice Address - Street 1:219 WATERFORD DR
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503-5408
Practice Address - Country:US
Practice Address - Phone:337-984-8910
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2015-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA016657207P00000X
LAMD.016647208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LAP00980763OtherMCARE RR
LA1328839Medicaid
LA5A099CN33Medicare PIN