Organization
SOUTHERN UROLOGY LLC
Active
Other names
Southern Urology LaHaye
Organization subpart
No
Provider details
NPI number
Authorized official
MARCELLUS E LAHAYE MD (MD)
(337) 506-3540
Entity
Organization
Contact information
Practice address
4940 VIDRINE RD, VILLE PLATTE, LA 70586-8780
(337) 506-3540
(337) 506-3541
Mailing address
PO BOX 54028, LAFAYETTE, LA 70505-4028
(337) 506-3540
(337) 506-3541
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
020487
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1305308
—
LA
01
—
5DF66
MEDICARE
LA
Enumeration date
07/28/2009
Last updated
04/02/2024
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