Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lasamoa Ellis

Individual provider Case Manager/Care Coordinator · NPI 1568053494

Lasamoa Ellis is a Case Manager/Care Coordinator in Salt Lake City, Utah. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

4460 S Highland Dr
Salt Lake City, UT 84124-3543
Phone: (888) 949-4864
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1568053494
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 2, 2021
Last updated in NPPESFebruary 2, 2021
Certification dateFebruary 2, 2021

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