MS. LISA ELLIS

Early Intervention Provider Agency

Active Individual
NPI: 1487892485

Practice Address

309 S FAIR ST
Champaign, IL 61821

Phone: (217) 377-9348

Specialties

Specialty Code Primary License
Early Intervention Provider Agency 252Y00000X Yes -

Frequently Asked Questions

NPI 1487892485 is the National Provider Identifier for MS. LISA ELLIS, a Early Intervention Provider Agency provider located in Champaign, IL. This NPI was enumerated on January 28, 2009.
MS. LISA ELLIS practices at 309 S FAIR ST, Champaign, IL 61821.

Quick Facts

NPI
1487892485
Type
Individual
Enumerated
Jan 28, 2009
Last Updated
Apr 24, 2014

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