IndividualActive
Lasamoa Ellis
NPI 1568053494 · Case Manager/Care Coordinator · Salt Lake City, UT
Provider details
- NPI number
- 1568053494
- Entity type
- Individual
- Primary specialty
- Case Manager/Care CoordinatorOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
4460 S Highland Dr
Salt Lake City, UT 84124-3543
Phone: (888) 949-4864
Approximate (ZIP-level) locationGet directions
Mailing address
4460 S Highland Dr
Salt Lake City, UT 84124-3543
Registry dates
- Enumerated
- 2021-02-02
- Last updated
- 2021-02-02
- Certified
- 2021-02-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.