Individual
ELLA LORTIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4040 BEACON ST, KINGSLEY, MI 49649-9548
(231) 263-1350
Mailing address
4040 BEACON ST, KINGSLEY, MI 49649-9548
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/28/2025
Last updated
05/28/2025
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