Lakesha Dianna Ellis
NPI #1659847507 in Waynesboro, Mississippi
Provider Information
- NPI Number
- 1659847507
- Entity Type
- Individual
- Name
- Lakesha Dianna Ellis
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Non-emergency Medical Transport (VAN)
- Enumeration Date
- Oct 18, 2018
- Last Updated
- Oct 18, 2018
Practice Location
- Address
- 708 BLANKS AND HOGAN RD
- City
- Waynesboro
- State
- Mississippi
- ZIP Code
- 39367-3054
- Phone
- (601) 410-1736
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-emergency Medical Transport (VAN) |
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Organizations
| Provider Name | |
|---|---|
| Medi Port Transporation LLC | |
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