LISA ELLIS, PA-C
Physician Assistant - Medical
Active
Individual
NPI: 1750689865
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Medical | 363AM0700X | Yes | 014613-1 (NY) |
Frequently Asked Questions
NPI 1750689865 is the National Provider Identifier for LISA ELLIS, PA-C, a Physician Assistant - Medical provider located in Glenville, NY. This NPI was enumerated on March 14, 2011.
LISA ELLIS, PA-C practices at 79 GLENRIDGE RD, Glenville, NY 12302.
Quick Facts
- NPI
- 1750689865
- Type
- Individual
- Enumerated
- Mar 14, 2011
- Last Updated
- Aug 19, 2021
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