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Mark Ellis, DPM
Foot Surgery Podiatrist in Lafayette, Louisiana
NPI 1215975891

Mark Ellis is a Foot Surgery Podiatrist based in Lafayette, LA and is specialized in Foot Surgery. Mark Ellis practices in Lafayette, LA and has the professional credentials of DPM. The NPI Number for Mark Ellis is 1215975891 and holds a License No. 1670511 (Louisiana).

The current practice location address for Mark Ellis is 501 W Saint Mary Blvd, Lafayette, LA and can be reached out via phone at 337-593-1278 and via fax at 337-593-1280. You can also correspond with Mark Ellis through the mailing address at 501 W SAINT MARY BLVD, LAFAYETTE, LA - 70506-4600 (mailing address contact number: 337-593-1278).

Location: 501 W Saint Mary Blvd, Lafayette, LA, 70506-4600
person
Provider Profile Details
NPI Number
1215975891
Provider Name
Mark Ellis
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
501 W Saint Mary Blvd, Lafayette, LA, 70506-4600
Phone Number
337-593-1278
Fax Number
337-593-1280
Provider Enumeration Date
06/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1670511 05 LA
institution
Provider Business Practice Location Address Details
Address
501 W Saint Mary Blvd
City
State
Zip
70506-4600
Phone Number
337-593-1278
Fax Number
337-593-1280
person
Provider Business Mailing Address Details
Address
501 W Saint Mary Blvd
City
State
Zip
70506-4600
Phone Number
337-593-1278
Fax Number
337-593-1280
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
1670511 (Louisiana)
Definition
Definition to come...
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