Individual
LAUREN ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
340 N MIDDLETOWN RD, LIMA, PA 19037
(610) 891-5840
Mailing address
1098 W BALTIMORE PIKE, MEDIA, PA 19063-5139
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP016231
PA
Other
Enumeration date
06/28/2016
Last updated
06/28/2016
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