Leatrice Elliott

NPI #1497158166 in Springfield, Ohio

Provider Information

NPI Number: 1497158166
Entity Type: Individual
Name: Leatrice Elliott
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Oct 8, 2014
Last Updated: Oct 8, 2014

Practice Location

Address: 1500 W JEFFERSON ST
City: Springfield
State: Ohio
ZIP Code: 45506-1224
Phone: (937) 505-2855

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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