NPI Registry.org

Laura Ellman

NPI Registration Record

Provider / OrganizationNPIDate Certified
LAURA ELLMAN14771553492020-11-14
Entity TypeIndividual
Provider Name Laura Ellman
Practice Office Address19 E 42ND ST
COVINGTON, KY US
Practice Office Telephone8597867561
Mailing Address19 E 42ND ST
COVINGTON, KY 410151712 US
Business Telephone8597867561
HPT Codes
CodeLicense NoState
376J00000X PRIMARY
OPI Codes
0330809 MEDICAID OH

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