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Lolita Ellis
NPI 1750752622 · on the registry since 2015 · sole proprietor
Practice
- Address
- 206 E Iowa Ave
Bonifay, FL 32425 - Phone
- (850) 849-3869
- Fax
- (850) 547-1568
Registry record
- Primary taxonomy
- 376K00000X
376K00000X
- Also registered as
- 374U00000X
376J00000X
3747A0650X
372600000X - Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-06-27
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 Florida