Laksamana Perintis Nusantara, NP
- Industry payments
- $20
- Affiliated sites
- 1
- Medical group
- 1
- State licenses
- 2
- Year NPI issued
- 2023
- Practice address
- 401 Youngsville Hwy Suite 100 Suite 100, Lafayette, LA 70508-5173
- Practice phone
- Call (337) 330-0031
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Pediatric Group Of Acadiana - Lafayette (Youngsville Hwy)
Pediatric practice · Lafayette, Louisiana
Find Laksamana Nusantara's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Laksamana Perintis Nusantara is a primary care nurse practitioner in Crowley, Louisiana
Laksamana Nusantara practices at Pediatric Group Of Acadiana - Lafayette (Youngsville Hwy) in Lafayette, Louisiana.
Laksamana Nusantara's NPI, 1205610607, was assigned on August 24, 2023. Laksamana Nusantara holds Louisiana license 234786.
- NPI
- 1205610607NPI Registry (opens in a new tab)
- NPI enumeration date
- August 24, 2023
- NPI status
- Active
- Practice phone
- (337) 330-0031
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Laksamana Perintis Nusantara practices in Lafayette and Crowley
Laksamana Nusantara's primary practice is Pediatric Group of Acadiana - Lafayette (Youngsville Hwy), at 401 Youngsville Hwy Suite 100 Suite 100, Lafayette, LA 70508-5173. The practice phone is (337) 330-0031. The NPI Registry lists Laksamana Nusantara's practice address as 1307 Crowley Rayne Hwy, Crowley, LA 70526.
- Pediatric Group of Acadiana - Lafayette (Youngsville Hwy)Primary401 Youngsville Hwy Suite 100 Suite 100, Lafayette, LA 70508-5173Phone(337) 330-0031
- NPI Registry address1307 Crowley Rayne Hwy, Crowley, LA 70526 · Acadia Parish
Sources: NPPES NPI Registry (CMS); Dmand AI Affiliation Data; Doctors and Clinicians National Downloadable File (CMS); and Dmand AI Practice Data
Laksamana Perintis Nusantara is affiliated with 1 site of care and 1 medical group
Laksamana Nusantara's primary practice is Pediatric Group Of Acadiana - Lafayette (Youngsville Hwy) in Lafayette, Louisiana. The medical group on file is Pediatric Group of Acadiana.
Sources: Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Dmand AI tracks the EHR system at Laksamana Perintis Nusantara's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Laksamana Nusantara practices. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Pediatric Group Of Acadiana - Lafayette (Youngsville Hwy) | Available with a free account |
Source: Dmand AI Technology Install Data
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Laksamana Perintis Nusantara is one of 110 primary care nurse practitioners in Louisiana
Primary care is Laksamana Nusantara's primary specialty in the NPI Registry, under taxonomy code 363LP2300X. Dmand AI has Laksamana Nusantara's licenses on file in 2 states: Louisiana and Florida.
Specialties and state licenses
- Primary care nurse practitioner, LouisianaPrimary
- Family nurse practitioner, Florida
Primary care nurse practitioners near Laksamana Nusantara
Counts of primary care nurse practitioners with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Laksamana Perintis Nusantara's patients have a median age of 39
Across all payers, Dmand AI patient panel data puts Laksamana Nusantara's median patient age at 39, with 84% women.
Laksamana Nusantara's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 39
Patient panel by sex, all payers
- Women84%
- Men16%
Source: Dmand AI Patient Panel Data
Laksamana Perintis Nusantara received $20 in industry payments in 2025
CMS Open Payments shows 1 general payment to Laksamana Nusantara from 1 drug or device company in 2025. Food and beverage make up the largest share, 100% of the total. Collegium Pharmaceutical, Inc. paid the most, $20.
Companies that paid Laksamana Nusantara the most, 2025 to 2025
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Sources for Laksamana Perintis Nusantara's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Affiliation DataDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Dmand AI Practice Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation DataDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab) |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel Data |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Laksamana Perintis Nusantara
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Laksamana Perintis Nusantara's NPI number?
Laksamana Perintis Nusantara's NPI number is 1205610607. It was assigned on August 24, 2023, and it is active in the NPI Registry.
What does Laksamana Perintis Nusantara specialize in?
Laksamana Perintis Nusantara is a primary care nurse practitioner in Crowley, Louisiana. The primary specialty in the NPI Registry is Primary Care Nurse Practitioner (taxonomy code 363LP2300X).
Where does Laksamana Perintis Nusantara practice?
Laksamana Nusantara practices at 401 Youngsville Hwy Suite 100 Suite 100, Lafayette, LA 70508-5173. Laksamana Nusantara also practices at 1307 Crowley Rayne Hwy, Crowley, LA 70526. Laksamana Nusantara's primary practice is Pediatric Group Of Acadiana - Lafayette (Youngsville Hwy) in Lafayette, Louisiana.
What is Laksamana Perintis Nusantara's office phone number?
The practice phone on file for Laksamana Nusantara is (337) 330-0031.
What is Laksamana Perintis Nusantara's medical license number?
Laksamana Nusantara holds Louisiana license 234786, one of the licenses on file in 2 states.
Which states has Laksamana Perintis Nusantara been licensed in?
Dmand AI has state licenses on file for Laksamana Nusantara in Louisiana and Florida.
What medical group is Laksamana Perintis Nusantara part of?
Laksamana Nusantara is linked to Pediatric Group of Acadiana.
Has Laksamana Perintis Nusantara received payments from drug or device companies?
CMS Open Payments shows $20 in general payments to Laksamana Nusantara from 1 company from 2025 to 2025. The largest total came from Collegium Pharmaceutical, Inc.
How long has Laksamana Perintis Nusantara been practicing?
Laksamana Nusantara's NPI was assigned in 2023.
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