Most Relevant Information
Provider Data
| NPI Number: | 1003353038 |
| Provider Name: | CHELSEA LAUREN MAUCHER NP |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 28174452A |
Most Important Dates
| Enumeration Date: | 01/29/2017 |
| Last Updated: | 11/06/2023 |
Provider Practice Location
2500 N DETROIT ST
LAGRANGE
IN
467611158
Practice Location Phone/Fax
| Phone: | 2604632133 |
| Fax: | 2604633775 |
Provider Mailing Location
PO BOX 236
LAGRANGE
IN
467610236
Provider Mailing Phone/Fax
| Phone: | 2604632133 |
| Fax: | 2604633775 |