NPI 1174232532

Southern Urology LLC

Organisation Urology Physician Lafayette, LA

Practice location

Address: 120 Rue Louis Xiv Building 1, Lafayette, LA 70508-5739
Phone: (337) 769-7779
Mailing address: 120 Rue Louis Xiv, Lafayette, LA 70508-5739

Authorised official

Name: Mark Robert Eldredge
Title: Ao
Phone: (337) 769-7779

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X

Other Urology providers in Louisiana →

Registry record

NPI: 1174232532
Entity type: Organization
NPI issued: 15 Nov 2022
Record last updated: 13 Mar 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.