person
Lisa Ellis, PA-C
Medical Physician Assistant in Glenville, New York
NPI 1750689865

Lisa Ellis is a Medical Physician Assistant based in Glenville, NY and is specialized in Medical. Lisa Ellis practices in Glenville, NY and has the professional credentials of PA-C. The NPI Number for Lisa Ellis is 1750689865 and holds a License No. 014613-1 (New York).

The current practice location address for Lisa Ellis is 79 Glenridge Rd, Glenville, NY and can be reached out via phone at 800-989-6446.

Location: 79 Glenridge Rd, Glenville, NY, 12302-4528
person
Provider Profile Details
NPI Number
1750689865
Provider Name
Lisa Ellis
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
79 Glenridge Rd, Glenville, NY, 12302-4528
Phone Number
800-989-6446
Fax Number
Provider Enumeration Date
03/14/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
79 Glenridge Rd
City
State
Zip
12302-4528
Phone Number
800-989-6446
Fax Number
person
Provider Business Mailing Address Details
Address
79 Glenridge Rd
City
State
Zip
12302-4528
Phone Number
800-989-6446
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
014613-1 (New York)
Definition
Definition to come...
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