Provider Demographics
NPI:1770682866
Name:FAMILY CARE OF ACADIANA LLC
Entity Type:Organization
Organization Name:FAMILY CARE OF ACADIANA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:DEEDEE
Authorized Official - Middle Name:C
Authorized Official - Last Name:LUKE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:337-326-4112
Mailing Address - Street 1:803 ALBERTSON PKWY
Mailing Address - Street 2:
Mailing Address - City:BROUSSARD
Mailing Address - State:LA
Mailing Address - Zip Code:70518
Mailing Address - Country:US
Mailing Address - Phone:337-326-4112
Mailing Address - Fax:337-839-8477
Practice Address - Street 1:803 ALBERTSON PKWY
Practice Address - Street 2:
Practice Address - City:BROUSSARD
Practice Address - State:LA
Practice Address - Zip Code:70518
Practice Address - Country:US
Practice Address - Phone:337-326-4112
Practice Address - Fax:337-839-8477
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-22
Last Update Date:2015-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA5C946Medicare UPIN