Lisa N. Mcelligott PA-C
Physician Assistant in Jacksonville, FL(View on Map)
Full Name
Lisa N Mcelligott PA-C
NPI Number
1124260930
NPI Type
Individual Provider
Gender
Female
Enumeration Date
03/26/2009
Specialties
(Taxonomies)Licenses
State
Connecticut
Florida
License Number
002222
PA9115887
Contact
Information
Purpose
Mailing
Location
Address
PO BOX 746654
1301 PALM AVE
City
Atlanta
Jacksonville
State
GA
FL
Postal Code
30374-6654
32207-8432
Country
US
US
Telephone Number
(904) 202-2092
(904) 202-7300
Identifiers
Identifier
9046450
020222
P00964332
30-62086
3V2970
523682
290002222CT01
Identifier State
CT
CT
CT
CT
CT
CT
CT
Identifier Issuer
AETNA
CONNECTICARE
RR MEDICARE
AMERICHOICE
HEALTHNET/COMMERCIAL
WELLCARE
ANTHEM BCBS CT
Health Information Exchange
Endpoint Type
DIRECT
Endpoint
lmcelligott225528@direct.stfranciscare.org
Endpoint Description
CT Direct email address
Use
Direct
Content Type
Other
Other Description:CCD
Affiliation
N
Endpoint Location
56 Franklin StWaterbury, CT067061253US
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 04/25/2022
Provider Address
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