Organization
ELLENDER FAMILY MEDICINE, APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEE DARRELL ELLENDER M.D. (PRESIDENT)
(337) 594-8958
Entity
Organization
Contact information
Practice address
2967 S UNION ST, OPELOUSAS, LA 70570-5740
(337) 594-8958
(337) 594-8987
Mailing address
2967 S UNION ST, OPELOUSAS, LA 70570-5740
(337) 594-8958
(337) 594-8987
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
024917
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1422991
—
LA
Enumeration date
03/19/2007
Last updated
03/13/2017
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