Organization
ELC MEDICINE GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL S CHANLER M.D. (M.D./OWNER)
(318) 377-2885
Entity
Organization
Contact information
Practice address
102 OFFICE PARK DR, MINDEN, LA 71055-3086
(318) 377-2885
(318) 377-0096
Mailing address
102 OFFICE PARK DR, MINDEN, LA 71055-3086
(318) 377-2885
(318) 377-0096
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD.024145
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1441678
—
LA
05
—
1571181
—
LA
Enumeration date
06/02/2015
Last updated
12/16/2015
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