Individual
ELLEN F LIUZZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 VERMONT AVE, OAK RIDGE, TN 37830-6471
(865) 482-1777
(865) 482-1030
Mailing address
100 VERMONT AVE, OAK RIDGE, TN 37830-6471
(865) 482-1777
(865) 482-1030
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
41358
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000613609
ANTHEM
KY
01
—
3718940000
PASSPORT ADVANTAGE
KY
01
—
50024216
PASSPORT
KY
05
—
7100083480
—
KY
01
—
P00754793
RAILROAD MEDICARE
KY
05
—
Q017377
—
TN
Enumeration date
07/18/2005
Last updated
10/31/2016
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