Provider Demographics
NPI:1235171232
Name:FRANCO, LUIS R (MD)
Entity Type:Individual
Prefix:
First Name:LUIS
Middle Name:R
Last Name:FRANCO
Suffix:
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 1:1909 34TH ST
Mailing Address - Street 2:
Mailing Address - City:KENNER
Mailing Address - State:LA
Mailing Address - Zip Code:70065-3608
Mailing Address - Country:US
Mailing Address - Phone:504-471-6090
Mailing Address - Fax:504-471-6091
Practice Address - Street 1:1909 34TH ST
Practice Address - Street 2:
Practice Address - City:KENNER
Practice Address - State:LA
Practice Address - Zip Code:70065-3608
Practice Address - Country:US
Practice Address - Phone:504-471-6090
Practice Address - Fax:504-471-6091
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-12
Last Update Date:2014-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA022614208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1491209Medicaid
LA250012411OtherMEDICARE RAILROAD
LA4A240Medicare ID - Type Unspecified
LA250012411OtherMEDICARE RAILROAD