NPI 1285861674

Lixia Zhao Ellis, MDPHD

Practitioner Dermatology Physician Bennington, VT

Practice location

Address: 100 Hospital Dr, Bennington, VT 05201-5004
Phone: (802) 447-5544
Mailing address: 140 Hospital Dr, Bennington, VT 05201-5009

Registered specialties (2)

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 042.0012576 (VT)

Other Dermatology providers in Vermont →

Dermatology Physician

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence TL-3746 (CO)

Registry record

NPI: 1285861674
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Jun 2009
Record last updated: 17 Mar 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.