Harris, Luci Ellavich

Harris, Luci Ellavich is an individual health care provider with primary practice located at 1375 S Lapeer Rd Ste 209 , Lake Orion MI 48360-1421. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Harris, Luci Ellavich can be contacted via phone (248) 814-0500.

Contact Information

Primary practice address
1375 S Lapeer Rd Ste 209 Lake Orion MI 48360-1421
Phone: (248) 814-0500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 5501013495 Michigan

Profile Details

NPI number 1881881464
LBN Legal business name Harris, Luci Ellavich
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2007
Last updated Mar 4th, 2022 - about 4 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 1881881464 NPPES
Michigan Other 30364 BCBS

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