Individual
EVAN LAWTON ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1122 KENILWORTH DR STE 109, TOWSON, MD 21204-2141
(443) 901-4200
Mailing address
1122 KENILWORTH DR # 106, TOWSON, MD 21204-2139
(443) 901-4200
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
S04102
MD
Other
Enumeration date
09/08/2021
Last updated
09/08/2021
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