Individual
DR. PERCITA LOREN ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6 GROUSE RUN RD, LEXINGTON, VA 24450-2252
(540) 463-1006
(540) 463-2003
Mailing address
6 GROUSE RUN RD, LEXINGTON, VA 24450-2252
(540) 463-1006
(540) 463-2003
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101231232
VA
Other
Enumeration date
02/21/2006
Last updated
07/08/2007
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