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Lauren Ellis

Nurse Practitioner, Adult Health in Lima, PA. Individual provider (NPI-1).

NPI number1043661325
StatusActive
Last updated in NPPESJun 28, 2016

Details

NPI
1043661325
Entity type
Individual (NPI-1)
Name
Lauren Ellis
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 28, 2016
Last updated
Jun 28, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LA2200X Nurse Practitioner, Adult HealthSP016231PAYes

Practice location

340 N Middletown Rd
Lima, PA 19037

Phone 610-891-5840

Mailing address

1098 W Baltimore Pike
Media, PA 19063-5139

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