DR. Percita Loren Ellis, M.D.

NPI #1962477281 in Lexington, Virginia

Provider Information

NPI Number: 1962477281
Entity Type: Individual
Name: DR. Percita Loren Ellis, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pediatrics
Credential: M.D.
Enumeration Date: Feb 21, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 6 GROUSE RUN RD
City: Lexington
State: Virginia
ZIP Code: 24450-2252
Phone: (540) 463-1006

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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