Individual
MS. LEORA JANE ELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
MEMPHIS VA MEDICAL CENTER,, 1030 JEFFERSON AVE, MEMPHIS, TN 38104-2193
(901) 523-8990
(901) 577-7381
Mailing address
1459 POPLAR ESTATES PKWY, GERMANTOWN, TN 38138-1840
(901) 523-8990
(901) 577-7381
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
959
TN
Other
Enumeration date
08/04/2006
Last updated
10/30/2008
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