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Individual
LISA N MCELLIGOTT
Active
Individual
LISA N MCELLIGOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9115887
FL
363AM0700X
Medical Physician Assistant
002222
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020222
CONNECTICARE
CT
01
—
290002222CT01
ANTHEM BCBS CT
CT
01
—
30-62086
AMERICHOICE
CT
01
—
3V2970
HEALTHNET/COMMERCIAL
CT
01
—
523682
WELLCARE
CT
01
—
9046450
AETNA
CT
01
—
P00964332
RR MEDICARE
CT
Enumeration date
03/26/2009
Last updated
04/30/2025
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