PROVIDENCE UROLOGY PLLC NPI 1255537403

NPI Information

  • NPI: 1255537403
  • Provider Name: PROVIDENCE UROLOGY, PLLC
  • Classification: Urology - 208800000X
  • Entity Type: Organization
  • Address: 1428 ELLEN ST
    SUITE A
    MONROE, NC
    ZIP 28112
  • Phone: (704) 289-4361

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NPI Details

PROVIDENCE UROLOGY, PLLC is an urology in Monroe, NC. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. PROVIDENCE UROLOGY, PLLC NPI is 1255537403. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1428 ELLEN ST
SUITE A
MONROE, NC
ZIP 28112-285
Phone: (704) 289-4361
Fax: (704) 283-4705

The provider's authorized official is Arthur J. Lim .
The authorized official title is Physician/co-owner and has the following contact phone number (704) 289-4361.

The enumeration date for this NPI number is 6/25/2007 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistNORTH CAROLINANo
2208800000XUrology200101464NORTH CAROLINANo
3208800000XUrology200000981NORTH CAROLINAYes

What is NPI?

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This page was last updated on: 3/30/2025

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