NPI
Lisa Ellis
NPI 1770732711
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- PTA
- Type
- Individual
- Enumeration date
- 2008-09-15
- Last updated
- 2008-09-15
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Specialties
Licenses
- License AR
- PTA2267
Location
- Practice location
- 707 Eldridge Ave E
- City
- Wynne AR
- Postal code
- 72396-4032
- Phone
- (870) 208-8989
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Wynne, AR. 367 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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