Provider Demographics
NPI:1134110711
Name:APELLANIZ, LUIS FRANCISCO (MD)
Entity Type:Individual
Prefix:DR
First Name:LUIS
Middle Name:FRANCISCO
Last Name:APELLANIZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1914 JOHNSON STREET
Mailing Address - Street 2:
Mailing Address - City:JENNINGS
Mailing Address - State:LA
Mailing Address - Zip Code:70546-4100
Mailing Address - Country:US
Mailing Address - Phone:337-824-3446
Mailing Address - Fax:337-824-7990
Practice Address - Street 1:1615 JOHNSON ST STE A
Practice Address - Street 2:
Practice Address - City:JENNINGS
Practice Address - State:LA
Practice Address - Zip Code:70546-3650
Practice Address - Country:US
Practice Address - Phone:337-824-3446
Practice Address - Fax:337-824-7990
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-02
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA08542R208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1908762Medicaid