Organization Name: | ECL GROUP, LLC |
NPI Number: | 1154787554 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | EDWARD CHARLES LAFLEUR (M.D.) |
Mailing Address: | 2445 E Milton Ave Youngsville |
State: | LA US |
Postal Code: | 705925346 |
Phone Number: | 3374515952 |
Fax Number: | 3374515953 |
NPI Enumeration Date: | 01/14/2016 |
NPI Last Update Date: | 01/14/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207QA0401X |
License Number: | 025580 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Family Medicine |
Taxonomy Specialization: | Addiction Medicine |
Taxonomy Definition: | A family medicine physician who specializes in the diagnosis and treatment of addictions. |