Individual
MS. LOIS STOCK ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8931 HURON ST, THORNTON, CO 80260-6806
(303) 853-3845
Mailing address
809 INCORRIGIBLE CIR, LONGMONT, CO 80504-7381
(303) 853-3845
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
43105
CO
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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