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SOUTHERN UROLOGY LLC NPI 1740441955


NPI Information

NPI: 1740441955
Provider Name: SOUTHERN UROLOGY, LLC
Classification: Urology - 208800000X
Entity Type: Organization
Address:
120 RUE LOUIS XIV BLDG 2
LAFAYETTE, LA
ZIP 70508
Phone: (337) 769-7779
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SOUTHERN UROLOGY, LLC is an urology in Lafayette, 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. SOUTHERN UROLOGY, LLC NPI is 1740441955. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

120 RUE LOUIS XIV BLDG 2
LAFAYETTE, LA
ZIP 70508-739
Phone: (337) 769-7779
Fax: (337) 769-7800

The provider's authorized official is Mark R Eldredge .
The authorized official title is Manager and has the following contact phone number (337) 769-7779.

The enumeration date for this NPI number is 6/19/2008 and was last updated on 3/13/2023.


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

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: 4/28/2024

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