Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. LISA A ELLIS
Active Sole ProprietorMS. LISA A ELLIS is a Early Intervention Provider Agency healthcare provider located in CHAMPAIGN, Illinois. NPI 1487892485 is currently active in the NPPES registry. Verify at CMS.
Early Intervention Provider Agency · CHAMPAIGN, IL
Registration Details
- NPI Number
- 1487892485
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 28, 2009 (17.55167381152 yrs)
- Last Updated
- Apr 24, 2014
- Sole Proprietor
- Yes
Practice Information
- Address
-
309 S FAIR STCHAMPAIGN, IL, 618213122Browse IL providers · Browse ZIP 61821
- Phone
- 2173779348
- Primary Specialty
-
Early Intervention Provider Agency
252Y00000X
Other Early Intervention Provider Agency Providers in CHAMPAIGN, IL
| Name | Credential | NPI |
|---|---|---|
| MRS. CORINNE MARIE CLOUGH KAEDING | — | 1508385691 |
| MRS. BOBBIE JEAN WEBB | BA | 1336725530 |
| MEGAN L MOLINA | — | 1457034688 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.