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SOUTHERN UROLOGY LLC NPI 1346471174


NPI Information

NPI: 1346471174
Provider Name: SOUTHERN UROLOGY LLC

Doing Business As: SOUTHERN UROLOGY LAHAYE

Classification: Urology - 208800000X
Entity Type: Organization

CLIA Number: 19D1095159

Address:
4940 VIDRINE RD
VILLE PLATTE, LA
ZIP 70586
Phone: (337) 506-3540
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SOUTHERN UROLOGY LLC is an urology in Ville Platte, 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 1346471174. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Southern Urology Lahaye.

The provider's business location address is:

4940 VIDRINE RD
VILLE PLATTE, LA
ZIP 70586-780
Phone: (337) 506-3540
Fax: (337) 506-3541

The provider's authorized official is Marcellus E Lahaye .
The authorized official title is Md and has the following contact phone number (337) 506-3540.

The CLIA number assigned to this NPI record is 19D1095159 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/28/2009 and was last updated on 4/2/2024.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208800000XUrology020487LOUISIANAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15DF66OTHERLOUISIANAMEDICARE
21305308MEDICAIDLOUISIANA

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: 5/5/2024

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