Organization · Type 2 NPI
Lynne M. Ellis, Md,pa
Primary Care Clinic/Center · St. Petersburg, FL
NPI number
1912056540
Active
Practice location
1111 7th Ave N Ste 103
St. Petersburg, FL 33705-1348
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | 46897 (FL) |
Primary Care Clinic/Center: Definition to come...
2 other providers at this address
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About NPI 1912056540
Lynne M. Ellis, Md,pa's National Provider Identifier is 1912056540, issued on Jan 10, 2007. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in St. Petersburg, FL. The record was last updated on Sep 25, 2012.