Individual provider Active NPI

Luke P. Lee, M.D.

  • Family Medicine Physician
  • Plaquemine, LA
National Provider Identifier
1396775813
Registry record updated Mar 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10230R Issued in LA
Practice address
59295 River West Dr Ste C
Plaquemine, LA 70764-6597
Phone
(225) 687-2001
Fax
(225) 687-9519
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 10230R LA Primary

Addresses

Primary practice location

59295 River West Dr Ste C
Plaquemine, LA 70764-6597

Mailing address

59295 River West Dr Ste C
Plaquemine, LA 70764-6597
Phone (225) 687-2001

Other identifiers 1

IdentifierTypeStateIssuer
1977721MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
10230RLAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
River Healthcare, Inc Family Medicine Past Accepting new patients
Aca Clinic PastSince May 2, 2019 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426032000000",
    "number": "1396775813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59295 RIVER WEST DR STE C",
            "city": "PLAQUEMINE",
            "state": "LA",
            "postal_code": "707646597",
            "telephone_number": "225-687-2001",
            "fax_number": "225-687-9519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59295 RIVER WEST DR STE C",
            "city": "PLAQUEMINE",
            "state": "LA",
            "postal_code": "707646597",
            "telephone_number": "225-687-2001",
            "fax_number": "225-687-9519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "LUKE",
        "middle_name": "P.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2015-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "10230R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1977721",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plaquemine, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.