Individual
MR. LASCOTT ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
910 S VIENNA ST STE 7, RUSTON, LA 71270-5864
(318) 224-9200
Mailing address
910 S VIENNA ST STE 7, RUSTON, LA 71270-5864
(318) 224-9200
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
15610
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/30/2015
Last updated
08/20/2025
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