Individual
MAXLYN LAVIE ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2920 HIGHWOODS BLVD, SUITE 127, RALEIGH, NC 27604-1015
(919) 872-5220
(919) 872-5770
Mailing address
2301 REXWOODS DR, STE 102, RALEIGH, NC 27607-3370
(919) 872-5220
(919) 872-5770
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
NC98-00857
NC
Other
Enumeration date
05/11/2007
Last updated
01/25/2017
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