Larry Johnson Ellison is a Endodontist based in Omaha, NE and is specialized in Endodontics. Larry Johnson Ellison practices in Omaha, NE and has the professional credentials of DDS. The NPI Number for Larry Johnson Ellison is 1235236217 and holds a License No. 5949 (Nebraska).
The current practice location address for Larry Johnson Ellison is 615 N 90Th St, Omaha, NE and can be reached out via phone at 402-393-5050 and via fax at 402-393-3401.
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04989 | 01 | NE | BLUE CROSS AND BLUE SHILED |
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