Lisa C Elliott, CNMT, RT(N)
Nuclear Medicine in Gainesville, FL. Individual provider (NPI-1).
NPI number1336769017
StatusActive
Last updated in NPPESApr 22, 2020
Details
- NPI
- 1336769017
- Entity type
- Individual (NPI-1)
- Name
- Ms. Lisa C Elliott
- Credential
- CNMT, RT(N)
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 22, 2020
- Certification date
- Apr 22, 2020
- Last updated
- Apr 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207U00000X | Nuclear Medicine | CRT83090 | FL | Yes |
Practice location
1601 Sw Archer RdGainesville, FL 32608-1135
Phone 352-376-1611
Mailing address
8800 Se 2nd Street RdTrenton, FL 32693-4720
Phone 352-339-6327
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