NPI 1780818252

Loni Ellis

Practitioner Specialist Meridian, ID

Practice location

Address: 2524 N Stokesberry Pl, Meridian, ID 83646-1144
Phone: (208) 373-7733
Fax: (208) 373-7755

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

Other Specialist providers in Idaho →

Registry record

NPI: 1780818252
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 May 2009
Record last updated: 12 May 2009

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.