MS. Lisa A Ellis
MS. Lisa A Ellis is an Early Intervention Provider Agency in Champaign, Illinois. Practices as a sole proprietor. Registered with an NPI since 2009.
- In the registry since
- 2009
Practice location Address checks out
309 S Fair StChampaign, IL 61821-3122
Phone: (217) 377-9348
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Early Intervention Provider Agency (primary) | Taxonomy 252Y00000X |
|---|
Record details
| NPI number | 1487892485 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 28, 2009 |
| Last updated in NPPES | April 24, 2014 |
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