| Luke Mancuso Dds | |
|
1600 W Veterans Meml Dr Kaplan LA 70548-3604 | |
| (337) 643-6400 | |
| Not Available |
| Full Name | Luke Mancuso Dds |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1600 W Veterans Meml Dr, Kaplan, Louisiana |
| Authorized Official Name and Position | Luke Mancuso (DENTIST/OWNER) |
| Authorized Official Contact | 3376436400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Luke Mancuso Dds 1600 W Veterans Meml Dr Kaplan LA 70548-3604 Ph: (337) 643-6400 | Luke Mancuso Dds 1600 W Veterans Meml Dr Kaplan LA 70548-3604 Ph: (337) 643-6400 |
| NPI Number | 1316412885 |
|---|---|
| Provider Enumeration Date | 10/10/2018 |
| Last Update Date | 10/10/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316412885 | NPI | - | NPPES |
| 1881906196 | Medicaid | LA | |
| 1447742143 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |