Provider Demographics
NPI:1689678609
Name:HEBERT, LOUIS DESIRE (MD)
Entity Type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:DESIRE
Last Name:HEBERT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:64040 HIGHWAY 434
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LACOMBE
Mailing Address - State:LA
Mailing Address - Zip Code:70445-3456
Mailing Address - Country:US
Mailing Address - Phone:985-882-6221
Mailing Address - Fax:985-882-7935
Practice Address - Street 1:64040 HIGHWAY 434 STE 103
Practice Address - Street 2:
Practice Address - City:LACOMBE
Practice Address - State:LA
Practice Address - Zip Code:70445-3499
Practice Address - Country:US
Practice Address - Phone:985-259-1215
Practice Address - Fax:985-871-7841
Is Sole Proprietor?:No
Enumeration Date:2005-06-08
Last Update Date:2019-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA020861208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1663476Medicaid
MI00122001OtherMEDICAID
LA1663476Medicaid
G07812Medicare UPIN