Individual
LUCILLE ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1801 SE 32ND AVE, OCALA, FL 34471-5532
(352) 629-0137
(352) 620-6828
Mailing address
700 NW 49TH ST, OCALA, FL 34475-1585
(352) 629-0137
(352) 620-6828
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN2967532
FL
Other
Enumeration date
01/17/2014
Last updated
01/17/2014
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