Ellender, Lee D

Ellender, Lee D is an individual health care provider with primary practice located at 2967 S Union St , Opelousas LA 70570-5740. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ellender, Lee D can be contacted via phone (337) 594-8958.

Contact Information

Primary practice address
2967 S Union St Opelousas LA 70570-5740
Phone: (337) 594-8958
Fax: (337) 594-8987
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 024917 Louisiana

Profile Details

NPI number 1558364331
LBN Legal business name Ellender, Lee D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Aug 29th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558364331 NPPES
Louisiana MEDICAID 1422991

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