Individual provider · Type 1 NPI

Laureen M. Ellis, NP-C

Family Nurse Practitioner · Lakewood, OH

NPI number 1194097196 Active

Practice location

14519 Detroit Ave, Care Management
Lakewood, OH 44107-4316

Fax (216) 529-7264

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XCOA.12984-NP (OH)

Family Nurse Practitioner: Definition to come...

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About NPI 1194097196

Laureen M. Ellis, NP-C's National Provider Identifier is 1194097196, issued on Feb 7, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lakewood, OH. The record was last updated on Feb 7, 2012.