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Lawrence Ellis, LADC

NPI 1215175591 · on the registry since 2009 · sole proprietor

Practice

Address
2401 N.W. 39th I 44 Service Rd
Suite 103
Oklahoma City, OK 73112
Phone
(405) 557-1655

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2009-01-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma