Individual
LISA JANE ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
326 NICHOLS RD, FITCHBURG, MA 01420-1914
(978) 878-8100
(978) 878-8459
Mailing address
326 NICHOLS RD, FITCHBURG, MA 01420-1914
(978) 878-8100
(978) 878-8459
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN191884
MA
Other
Enumeration date
12/04/2019
Last updated
12/04/2019
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