Harris, Luci Ellavich
Harris, Luci Ellavich is an individual health care provider with primary practice located at 1375 S Lapeer Rd Ste 209 , Lake Orion MI 48360-1421. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Harris, Luci Ellavich can be contacted via phone (248) 814-0500.Contact Information
Primary practice address
1375 S Lapeer Rd Ste 209
Lake Orion MI 48360-1421
Phone: (248) 814-0500
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 5501013495 | Michigan |
Profile Details
NPI number | 1881881464 |
---|---|
LBN Legal business name | Harris, Luci Ellavich |
Credentials | DPT |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 27th, 2007 |
Last updated | Mar 4th, 2022 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1881881464 | NPPES |
Michigan | Other | 30364 | BCBS |
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