Laksamana Perintis Nusantara
NP | Nurse Practitioner - Family
401 Youngsville Hwy Ste 100, Lafayette
Louisiana, 70508-5173
337-451-0663
Laksamana Perintis Nusantara is a Lafayette, Louisiana based nurse practitioner who is specialized as Family nurse. Active license number of Laksamana Perintis Nusantara is 234786 for Primary Care in Louisiana. His current practice location is 401 Youngsville Hwy Ste 100, Lafayette. Patients can reach him at 337-451-0663 or can fax him at 337-205-8650. Laksamana Perintis Nusantara is NP with specialization in Family and his NPI number (Unique professional ID assigned by NPPES) is 1205610607.
Laksamana Perintis Nusantara delivers family-focused care which means he provides care for patients ranging from infants to the elderly and every age in between. Family Nurse Practitioner (FNP) are frequently the primary care provider for families, which means that they will not only diagnose conditions, but also treat them. FNPs perform physical exams, order diagnostic tests and procedures, diagnose and treat illness, prescribe needed medications, and teach their patients how to develop healthy lifestyles to promote health and prevent disease.
Complete Profile:
Laksamana Perintis Nusantara speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Laksamana Perintis Nusantara |
| Specialization: | Family Nurse Practitioner (FNP) |
| Gender: | Male |
| Credentials: | NP |
| Practice Address: | 401 Youngsville Hwy Ste 100, Lafayette,
Louisiana, 70508-5173 |
| Phone: | 337-451-0663 |
| Fax: | 337-205-8650 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1205610607 |
| NPI Enumeration Date: | 24 Aug, 2023 |
| NPI Last Update On: | 23 Oct, 2025 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Laksamana Perintis Nusantara are as mentioned below.
| License Number | Specialization | State | Status | |
| 234786 | Primary Care | Louisiana | Primary | |
| 11027192 | Family | Florida | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Laksamana Perintis Nusantara
401 Youngsville Hwy Ste 100,
Lafayette, Louisiana |
| Zip: | 70508-5173 |
| Phone Number: | 337-451-0663 |
| Fax Number: | 337-205-8650 |
Patients can reach Laksamana Perintis Nusantara at
401 Youngsville Hwy Ste 100, Lafayette, Louisiana or can
call to book an appointment on 337-451-0663.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.