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LAKE CHARLES MEDICAL SERVICES UROLOGY LLC NPI 1558491803


NPI Information

NPI: 1558491803
Provider Name: LAKE CHARLES MEDICAL SERVICES UROLOGY LLC

Doing Business As: UROLOGY ASSOCIATES

Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 19D0700543

Address:
2770 3RD AVE STE 240
LAKE CHARLES, LA
ZIP 70601
Phone: (337) 494-2921
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LAKE CHARLES MEDICAL SERVICES UROLOGY LLC is an urology in Lake Charles, LA. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. LAKE CHARLES MEDICAL SERVICES UROLOGY LLC NPI is 1558491803. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Urology Associates.

The provider's business location address is:

2770 3RD AVE STE 240
LAKE CHARLES, LA
ZIP 70601-994
Phone: (337) 494-2921
Fax: (337) 494-6523

The provider's authorized official is Dawn Johnson-hatcher .
The authorized official title is Cfo and has the following contact phone number (337) 494-2094.

The CLIA number assigned to this NPI record is 19D0700543 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/6/2007 and was last updated on 8/23/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208800000XUrologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10700010826OTHERLOUISIANAOCCUPATIONAL LICENSE
2NH6217OTHERLOUISIANABCBS
31030562MEDICAIDLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.