Organization
ERIC L ELLIS MD INC
Active
Other names
Lincoln Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC LEE ELLIS MD (PRESIDENT)
(916) 258-2751
Entity
Organization
Contact information
Practice address
77 LINCOLN BLVD STE 1, LINCOLN, CA 95648-7422
(916) 258-2751
(916) 258-7172
Mailing address
77 LINCOLN BLVD STE 1, LINCOLN, CA 95648-7422
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CA333419
—
CA
Enumeration date
01/12/2019
Last updated
03/21/2025
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