NPI 1497158166

Leatrice Elliott

Practitioner Specialist Springfield, OH

Practice location

Address: 1500 W Jefferson St, Springfield, OH 45506-1224
Phone: (937) 505-2855
Fax: (937) 505-2972

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence OH1257649 (OH)

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Registry record

NPI: 1497158166
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Oct 2014
Record last updated: 8 Oct 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.