Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southern Urology LLC

Organization Urology Physician · NPI 1760612865

Southern Urology LLC is an Urology Physician in Lafayette, Louisiana. Registered with an NPI since 2009.

In the registry since
2009
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1016 Coolidge Blvd
Lafayette, LA 70503-2436
Phone: (337) 233-6665
Fax: (337) 233-0327
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X

Record details

NPI number1760612865
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Edward Breaux — Managing Member · (337) 233-6665
Other names Coolidge Location
NPI enumeratedJuly 23, 2009
Last updated in NPPESJanuary 4, 2010
Mailing addressPo Box 54028, Lafayette, LA 70505-4028

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