Provider Demographics
NPI:1275843070
Name:LUC PERRIER MD ORTHOPAEDIC SURGERY PLLC
Entity Type:Organization
Organization Name:LUC PERRIER MD ORTHOPAEDIC SURGERY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LUC
Authorized Official - Middle Name:
Authorized Official - Last Name:PERRIER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:315-393-0493
Mailing Address - Street 1:223 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:OGDENSBURG
Mailing Address - State:NY
Mailing Address - Zip Code:13669-1515
Mailing Address - Country:US
Mailing Address - Phone:315-393-0493
Mailing Address - Fax:315-393-0568
Practice Address - Street 1:223 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:OGDENSBURG
Practice Address - State:NY
Practice Address - Zip Code:13669-1515
Practice Address - Country:US
Practice Address - Phone:315-393-0493
Practice Address - Fax:315-393-0568
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-14
Last Update Date:2010-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY214710207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty