Daniel Ellis is a Driver based in Lake Charles, LA. Daniel Ellis practices in Lake Charles, LA. The NPI Number for Daniel Ellis is 1932837614 and holds a License No. 010630340 (Louisiana).
The current practice location address for Daniel Ellis is 1400 Jackson St, Lake Charles, LA and can be reached out via phone at 337-488-9560.
Location: 1400 Jackson St, Lake Charles, LA, 70601-2458
Provider Profile Details
NPI Number
1932837614
Provider Name
Daniel Ellis
Credential
Provider Entity Type
Individual
Gender
Male
Address
1400 Jackson St, Lake Charles, LA, 70601-2458
Phone Number
337-488-9560
Fax Number
Provider Enumeration Date
08/10/2022
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
1400 Jackson St
City
State
Zip
70601-2458
Phone Number
337-488-9560
Fax Number
Provider Business Mailing Address Details
Address
1400 Jackson St
City
State
Zip
70601-2458
Phone Number
337-488-9560
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
010630340 (Louisiana)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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