Lisa L Ellis, MPAS, PA-C Valid NPI

Individual provider · Physician Assistant · Butler, PA

NPI

1306169792

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

MA054156 (PA)

Sex

Female

Sole proprietor

No

Enumerated

2010-03-12

Last updated

2016-11-15