Individual
MS. LISA C ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNMT, RT(N)
Contact information
Practice address
1601 SW ARCHER RD, GAINESVILLE, FL 32608-1135
(352) 376-1611
Mailing address
8800 SE 2ND STREET RD, TRENTON, FL 32693-4720
(352) 339-6327
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
CRT83090
FL
Other
Enumeration date
04/22/2020
Last updated
04/22/2020
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