Provider Demographics
NPI:1265893739
Name:LOUQUE, DENISE (NP)
Entity type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:
Last Name:LOUQUE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MISS
Other - First Name:DENISE
Other - Middle Name:SUZANNE
Other - Last Name:LINDSEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:21420 HIGHWAY 20
Mailing Address - Street 2:
Mailing Address - City:VACHERIE
Mailing Address - State:LA
Mailing Address - Zip Code:70090-3614
Mailing Address - Country:US
Mailing Address - Phone:225-265-3013
Mailing Address - Fax:
Practice Address - Street 1:21420 HIGHWAY 20
Practice Address - Street 2:
Practice Address - City:VACHERIE
Practice Address - State:LA
Practice Address - Zip Code:70090-3614
Practice Address - Country:US
Practice Address - Phone:225-265-3013
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-11
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP08709363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily