Lacey Ellyson, NP-C
Individual provider Active NPI Family Nurse Practitioner · Lisbon, OH
NPI 1659868644 · NPPES record last updated Mar 4, 2021
Key facts
- NPI
- 1659868644
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APRN.CNP.022504 (OH)
- Practice address
- 400 N Market St
Lisbon, OH 44432-1146 - Phone
- (330) 424-9866
- NPI assigned
- Apr 16, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.022504 | OH | Yes |
Addresses
Primary practice location
400 N Market St
Lisbon, OH 44432-1146
Mailing address
1 Perkins SQ
Akron, OH 44308-1063
Phone (330) 424-9866
Other names
- Lacey Glover
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lellyson53350@direct.chmca.org | Direct | |
| Direct Messaging Address | lellyson53350@direct.chmca.org |
Other providers in Lisbon, OH
- Eisel Vision Clinic LLC
- Ryan W Eisel
- Lauren Marie Eisenbraun
- Karen Elliott
- Krista Ellis
- Trisha L Endicott
- Lorri L Ensell
- Michele Ericson
- Mary Ewing
- Excel Physical Therapy, Inc
All providers in Lisbon, OH · Family Nurse Practitioner in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.