Ellis, Lori

Ellis, Lori is an sole proprietor health care provider with primary practice located at 301 W Airline Hwy Ste 201 , La Place LA 70068-3823. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Licensed Practical Nurse, Suppliers / Blood Bank, Technologists, Technicians & Other Technical Service Providers / Medical Laboratory. Technologists, Technicians & Other Technical Service Providers / Medical Laboratory is her primary health care specialty. Ellis, Lori can be contacted via phone (504) 517-2873.

Contact Information

Primary practice address
301 W Airline Hwy Ste 201 La Place LA 70068-3823
Phone: (504) 517-2873
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 280026 Louisiana
Suppliers / Blood Bank 331L00000X
Technologists, Technicians & Other Technical Service Providers / Medical Laboratory 246RM2200X

Profile Details

NPI number 1407451800
LBN Legal business name Ellis, Lori
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 2nd, 2020
Last updated Nov 20th, 2021 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407451800 NPPES
Louisiana MEDICAID 5043194950

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