Provider Demographics
NPI:1710078613
Name:LUELF, CLAIRE JEAN PURDOME (MD)
Entity Type:Individual
Prefix:DR
First Name:CLAIRE
Middle Name:JEAN PURDOME
Last Name:LUELF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1145
Mailing Address - Street 2:
Mailing Address - City:TIOGA
Mailing Address - State:LA
Mailing Address - Zip Code:71477-1145
Mailing Address - Country:US
Mailing Address - Phone:225-612-7872
Mailing Address - Fax:
Practice Address - Street 1:2495 SHREVEPORT; HIGHWAY 71 NORTH
Practice Address - Street 2:VA MEDICAL CENTER - ALEXANDRIA
Practice Address - City:PINEVILLE
Practice Address - State:LA
Practice Address - Zip Code:71360
Practice Address - Country:US
Practice Address - Phone:318-473-0010
Practice Address - Fax:318-483-5036
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE-32302084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
BL8741957OtherDEA #