Lara M. Ellison in Naperville - Family Medicine
Lara M. Ellison - NPI 1528079803
Lara M. Ellison is a Family Medicine in Naperville, Illinois. Lara M. Ellison practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Lara M. Ellison is 1528079803. The last update date is 2021-03-26.
Lara M. Ellison's current location address is 2007 95th St, Naperville, Illinois. You can contact this provider via phone number 6306466920 and fax number 6306466925. The mailing address for Lara M. Ellison is 2007 95th St, Naperville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lara M. Ellison |
|---|---|
| Address | 2007 95th St, Naperville, Illinois |
| Phone Number | 6306466920 |
| Fax Number | 6306466925 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1528079803 |
|---|---|
| Provider Enumeration Date | 2006-08-11 |
| Last Updated Date | 2021-03-26 |
Provider Mailing Address Detail
| Address | 2007 95th St |
|---|---|
| City | Naperville |
| State | Illinois (IL) |
| Post Code | 605637802 |
| Phone Number | 6306466920 |
| Fax Number | 6306466925 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 36114549 |
|
Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 036114549 1 | IL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Lara M. Ellison by the Centers for Medicare & Medicaid Services (CMS)?
The Lara M. Ellison has been assigned the NPI (National Provider Identifier) 1528079803. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Lara M. Ellison is located?
The Lara M. Ellison is situated at the following address: 2007 95Th St, Naperville, IL, 605637802.
What is the area of specialization for Lara M. Ellison, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Lara M. Ellison is Family Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Q00000X.
On what date did the Lara M. Ellison receive the assignment of its 1528079803 from the Centers for Medicare & Medicaid Services?
The Lara M. Ellison was issued its 1528079803 by the Centers for Medicare & Medicaid Services on 2006-08-11.
As of what date were the details related to Lara M. Ellison most recently updated or revised?
The information pertaining to Lara M. Ellison, including its address, specialty, and other relevant details, was last updated or revised on 2021-03-26.