Individual
DR. COLIN M GOUDELOCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121
(504) 842-4083
(504) 842-6271
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
201000
LA
208800000X
Urology Physician
Primary
312724
LA
208800000X
Urology Physician
47657
TN
208800000X
Urology Physician
TL31990
SC
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
Primary
312724
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07096
—
LA
Enumeration date
05/22/2007
Last updated
04/21/2026
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