Daniel Ellis

NPI #1932837614 in Lake Charles, Louisiana

Provider Information

NPI Number: 1932837614
Entity Type: Individual
Name: Daniel Ellis
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Driver
Enumeration Date: Aug 10, 2022
Last Updated: Aug 10, 2022

Practice Location

Address: 1400 JACKSON ST
City: Lake Charles
State: Louisiana
ZIP Code: 70601-2458
Phone: (337) 488-9560

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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