Individual provider · Type 1 NPI

Lakazia Ellis

Licensed Practical Nurse · Racine, WI

NPI number 1679402689 Active

Practice location

3109 Mount Pleasant St
Racine, WI 53404-1511

Call (262) 664-8100 Map

Fax (262) 624-0352

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X304863-31 (WI)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1679402689

Lakazia Ellis's National Provider Identifier is 1679402689, issued on May 15, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Racine, WI. The record was last updated on May 15, 2026.