Individual
DR. LIXIA ZHAO ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., PH.D.
Contact information
Practice address
100 HOSPITAL DR, BENNINGTON, VT 05201-5004
(802) 447-5544
Mailing address
140 HOSPITAL DR, BENNINGTON, VT 05201-5009
(802) 447-5544
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
042.0012576
VT
207N00000X
Dermatology Physician
TL-3746
CO
Other
Enumeration date
06/12/2009
Last updated
03/17/2014
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