Ellis, Lacey Loral

Ellis, Lacey Loral is an individual health care provider with primary practice located at 2685 Pelham Pkwy Suite C, Pelham AL 35124-1354. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Ellis, Lacey Loral can be contacted via phone (205) 621-6503.

Contact Information

Primary practice address
2685 Pelham Pkwy Suite C Pelham AL 35124-1354
Phone: (205) 621-6503
Fax: (205) 621-6507
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X PT26720 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X PTH6802 Alabama

Profile Details

NPI number 1639510282
LBN Legal business name Ellis, Lacey Loral
Credentials PT, DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2013
Last updated Dec 5th, 2013 - about 12 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.

Request for update

Popular Providers