NPI 1467160234
Southern Urology LLC
Practice location
- Address
- 602 Saint Landry St, Lafayette, LA 70506-4628
- Phone
- (337) 235-1200
Authorised official
- Name
- Mark Robert Eldredge
- Title
- Ao
- Phone
- (337) 769-7779
Registered specialties
Urology Physician
Primary
Registry record
- NPI
- 1467160234
- Entity type
- Organization
- NPI issued
- 10 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.