Provider Demographics
NPI:1215179528
Name:LUKE, LAUREN (MD)
Entity Type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:
Last Name:LUKE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:LAUREN
Other - Middle Name:MARIE
Other - Last Name:FLETCHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:202 RUE PROMENADE
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70508-7218
Mailing Address - Country:US
Mailing Address - Phone:337-806-9161
Mailing Address - Fax:337-406-1855
Practice Address - Street 1:202 RUE PROMENADE
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-7218
Practice Address - Country:US
Practice Address - Phone:337-806-9161
Practice Address - Fax:337-406-1855
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-01
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA206401207Q00000X
AL32768207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine