National Provider Identifier

Lisa Ann Ellis

Lisa Ann Ellis is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 324-5915.

NPI 1932071230Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1932071230
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
September 18, 2025
Last Updated
September 18, 2025

Practice Location

  • 42 Corley Dr
  • Rochester, NY 14622-1242

Phone: (585) 324-5915

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1932071230
Entity Type
Individual
Last Name
Ellis
First Name
Lisa
Middle Name
Ann
Mailing Street Address
42 Corley Dr
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14622-1242
Mailing Country
US
Mailing Phone
(585) 324-5915
Practice Street Address
42 Corley Dr
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14622-1242
Practice Country
US
Practice Phone
(585) 324-5915
Enumeration Date
September 18, 2025
Last Updated
September 18, 2025
Sex
Female
Sole Proprietor
No
Certification Date
September 18, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)