Mark Ellis
Foot Surgery
501 W Saint Mary Blvd Suite B
Lafayette
, Louisiana 70506-4600
Mark Ellis
Foot Surgery
501 W Saint Mary Blvd Suite B
Lafayette
, Louisiana 70506-4600
(337) 593-1280
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About
Features
Specialties
- Foot Surgery
Languages spoken
- English
Location
First Address
- Mark Ellis
- 501 W Saint Mary Blvd Suite B
- Lafayette, LA
- Zip : 70506-4600
- Fax : (337) 593-1280
- Phone : (337) 593-1278
Second Address
- Mark Ellis
- 501 W Saint Mary Blvd Suite B
- Lafayette, LA
- Zip : 70506-4600
- Fax : (337) 593-1280
- Phone : (337) 593-1278
Reviews
FAQs
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In what state does Mark Ellis practice in?
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What is Mark Ellis ’s gender?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213ES0131X | Foot Surgery | 1670511 | LA |
National Provider Identifier
| NPI | 1215975891 |
|---|---|
| Provider Name | Mark Ellis |
| First Address | Lafayette, LA 70506-4600 |
| Second Address | Lafayette, LA 70506-4600 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/06/2006 |
| Last Update Date | 05/09/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1670511 | (05) | LA |
| U12329 | (02) | LA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.