| Doctor Name: | MISS LUCY ELLIOTT |
| NPI Number: | 1114299419 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MMS, PA-C, ATC. |
| License Number: | 2013038332 |
| Business Practice Address: | 101 United Dr Collinsville, IL - 622347428 |
| Business Phone Number: | 6183440248 |
| Business Fax Number: | 6183440789 |
| Mailing Address: | Po Box 689022, FRANKLIN |
| State: | TN |
| Postal Code: | 370689022 |
| Phone Number: | 6157788507 |
| Fax Number: | 6156286877 |
| NPI Enumeration Date: | 02/01/2012 |
| NPI Last Update Date: | 02/19/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 2013038332 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |