# DR. CHESLEY LELWYNN GREGORY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1861410730
- **Gender:** Man
- **Credential:** M.D. ,O.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | 765-002T | LA | — |
| 207P00000X | Emergency Medicine Physician | 202699 | LA | — |
| 207Q00000X | Family Medicine Physician | 202699 | LA | Yes |

## Other

- **Enumeration date:** 07/18/2006
- **Last updated:** 12/03/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1150631 | — | LA |
| 01 | — | 1578240 | MEDICAID (TIE BREAKER TAXONOMY 207Q00000X) | LA |
| 05 | — | 1578240 | — | LA |