Ellis, Laureen M

Ellis, Laureen M is an individual health care provider with primary practice located at 14519 Detroit Ave Care Management, Lakewood OH 44107-4316. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ellis, Laureen M can be contacted via phone (216) 529-7193.

Contact Information

Primary practice address
14519 Detroit Ave Care Management Lakewood OH 44107-4316
Phone: (216) 529-7193
Fax: (216) 529-7264
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X COA.12984-NP Ohio

Profile Details

NPI number 1194097196
LBN Legal business name Ellis, Laureen M
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2012
Last updated Feb 7th, 2012 - 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.

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