MR. ANTHONY LUCZAK (NPI# 1548678055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548678055 |
| Entity Type | Individual |
| Full Name | MR. ANTHONY LUCZAK |
| Credential | APRN |
| Practice Address |
1002 12th St Lafayette LA 70501-6224 |
| Mailing Address |
806 Jefferson Ter New Iberia LA 70560-5727 |
| Practice Telephone | 3375340107 |
| Practice Fax Number | 3375340184 |
| Mailing Telephone | 3373654945 |
| Mailing Fax Number | 3373673917 |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2019-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
AP07963 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
APO7963 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2374451 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 806 Jefferson Ter, New Iberia, LA 705605727 | 3373654945 | 3373673917 |
| 298 Nolan Trace Pkwy, Leesville, LA 71446 | 3373920110 | 3373920111 |
| 1050 N Robinson St, Many, LA 714493536 | 3182568150 | 3182568136 |
| 567 Walker St, Merryville, LA 706533040 | 3378251728 | 3378251229 |
| 1009 Charity St, Abbeville, LA 705105302 | 3378933443 | 3378933439 |
| 317 Dernier St, Saint Martinville, LA 705823809 | 3373422566 | 3373422533 |
| 1004 Surrey St, Lafayette, LA 705016143 | 3374566768 | 3374568690 |
| Street Address |
1002 12TH ST |
| City | LAFAYETTE |
| State | LA |
| Zip Code | 70501-6224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447243662 | St Roy Family Care Inc | Family Medicine | 1002 12th St, Lafayette, LA 70501-6224 | 2005-08-23 |
| 1316244338 | Iberia Comprehensive Community Health Center, Inc | Clinic/Center | 1002 12th St, Lafayette, LA 70501-6224 | 2011-02-28 |
| 1891920708 | St Roy Family Care LLC | Allergy & Immunology | 1002 12th St, Lafayette, LA 70501-6224 | 2009-05-20 |
| 1659598795 | Mary Triche Moron | Nurse Practitioner | 1002 12th St, Lafayette, LA 70501-6224 | 2007-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326646134 | Gifted Hands Caregiver | Home Health Aide | 213 Grimsby St., Fafayette, LA 70501 | 2020-10-14 |
| 1740888551 | Complete Count LLC | Home Health | 713 South Orange St, Lafayette, LA 70501 | 2020-10-14 |
| 1154891471 | Lesha May | Case Manager/Care Coordinator | 113 W Covent St, Lafayette, LA 70501 | 2018-11-29 |
| 1871023994 | Nancy Bass Texada | Community/Behavioral Health | 525 South Buchanan, Lafayette, LA 70501 | 2017-06-13 |
| 1447706700 | Medicine Bin Plus LLC | Pharmacy | 1105 West Willow St, Lafayette, LA 70501 | 2016-08-28 |
| 1508227968 | Vicky Marie Senegal | Home Health Aide | 304 1/2 Rubria St., Lafayette, LA 70501 | 2016-03-14 |
| 1558766931 | Corey Gerard Porche | Counselor | 708 Jefferson Blvd., Lafayette, LA 70501 | 2014-10-28 |
| 1518362219 | Sherry Riddle | Counselor | 119 Caillouet Place, Lafayette, LA 70501 | 2014-10-24 |
| 1285057893 | Hearsts of Hope | Counselor | 911 General Mouton Avenue, Lafayette, LA 70501 | 2014-02-03 |
| 1437408549 | Jensen J. Bergeron | Counselor | 600 Jefferson Street Suite 903, Lafayette, LA 70501 | 2012-09-05 |
| Find all providers in zip 70501 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578056842 | Jenna Elizabeth Bednarski | Nurse Practitioner | 3741 Rome Dr Ste B, Lafayette, IN 47905-4490 | 2018-06-12 |
| 1033505912 | Erin Gena Monachello | Nurse Practitioner | 401 Youngsville Hwy Ste 100, Lafayette, LA 70508-5173 | 2015-04-08 |
| 1710319009 | Megan Elizabeth Chapman | Nurse Practitioner | 1716 Hartford Stree, Lafayette, IN 47904-2138 | 2013-08-08 |
| 1932358660 | Claire F. Bailey | Nurse Practitioner | 5000 Ambassador Caffery Pkwy Bldg 12, Lafayette, LA 70508-6984 | 2008-09-18 |
| 1417995242 | Elizabeth A Jones | Nurse Practitioner | 3741 Rome Dr, Ste. B, Lafayette, IN 47905-4490 | 2006-06-03 |
| 1407807134 | Melissa Hope Nice | Nurse Practitioner | 415 N 26th St Ste 201, Lafayette, IN 47904-2856 | 2006-05-15 |
| 1962058743 | Rita M Becker | Nurse Practitioner | 2316 South St, Lafayette, IN 47904-2971 | 2019-08-16 |
| 1013486588 | Rebekah Hurst | Nurse Practitioner | 1716 Hartford St., Lafayette, IN 47904-2138 | 2018-11-14 |
| 1295218071 | Hannah Henderson | Nurse Practitioner | 2316 South St, Lafayette, IN 47904-2971 | 2018-09-08 |
| 1568972446 | Heather F. Champagne | Nurse Practitioner | 401 Youngsville Hwy Ste 100, Lafayette, LA 70508-5173 | 2017-10-05 |
| Find all providers in LAFAYETTE | ||||
Please comment or provide details below to improve the information on MR. ANTHONY LUCZAK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.