Individual
DR. LENWORTH RANSFORD ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
UCONN MEDICAL GROUP, 263 FARMINGTON AVENUE, FARMINGTON, CT 06030-0001
(860) 679-4477
(860) 679-4474
Mailing address
UCONN MEDICAL GROUP, 263 FARMINGTON AVENUE, FARMINGTON, CT 06030-0001
(860) 679-4477
(860) 679-4474
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
041803
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001418038
—
CT
Enumeration date
07/15/2006
Last updated
03/03/2016
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