Provider Demographics
NPI:1992815724
Name:ST PIERRE, LUKE WAYNE (DDS)
Entity type:Individual
Prefix:MR
First Name:LUKE
Middle Name:WAYNE
Last Name:ST PIERRE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 N COLLEGE RD
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70506-4245
Mailing Address - Country:US
Mailing Address - Phone:337-233-5375
Mailing Address - Fax:337-232-5149
Practice Address - Street 1:200 N COLLEGE RD
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70506-4245
Practice Address - Country:US
Practice Address - Phone:337-233-5375
Practice Address - Fax:337-232-5149
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LALA5058122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist