Individual
JEREMY S SPEEG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1016 COOLIDGE BLVD, LAFAYETTE, LA 70503-2436
(337) 233-6665
(337) 233-0327
Mailing address
120 RUE LOUIS XIV, LAFAYETTE, LA 70508-5739
(337) 769-7779
(337) 769-7800
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD.202727
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1001015
—
LA
Enumeration date
08/05/2007
Last updated
10/23/2017
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