| NPI | 1164464095 |
|---|---|
| Doing Business As | LADY OF THE SEA UROLOGY CLINIC |
| Entity Type | Organization |
| Authorized Contact | TAD A. LAFONT Director Of Practice Management 985-325-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2022-01-11 |