Individual provider · Type 1 NPI

Loni Ellis

Specialist · Meridian, ID

NPI number 1780818252 Active

Practice location

2524 N Stokesberry Pl
Meridian, ID 83646-1144

Fax (208) 373-7755

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1780818252

Loni Ellis's National Provider Identifier is 1780818252, issued on May 12, 2009. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Meridian, ID. The record was last updated on May 12, 2009.