Leatrice Elliott
Specialist in Springfield, OH. Individual provider (NPI-1).
NPI number1497158166
StatusActive
Last updated in NPPESOct 8, 2014
Details
- NPI
- 1497158166
- Entity type
- Individual (NPI-1)
- Name
- Leatrice Elliott
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 8, 2014
- Last updated
- Oct 8, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | OH1257649 | OH | Yes |
Practice location
1500 W Jefferson StSpringfield, OH 45506-1224
Phone 937-505-2855 · Fax 937-505-2972
Mailing address
1500 W Jefferson StSpringfield, OH 45506-1224
Phone 937-505-2855 · Fax 937-505-2972
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