Provider Demographics
NPI:1578899258
Name:PIGOTT, LISA MICHELLE (CST/CFA)
Entity Type:Individual
Prefix:MISS
First Name:LISA
Middle Name:MICHELLE
Last Name:PIGOTT
Suffix:
Gender:F
Credentials:CST/CFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41207 SNOWBALL CIR
Mailing Address - Street 2:
Mailing Address - City:PONCHATOULA
Mailing Address - State:LA
Mailing Address - Zip Code:70454-8424
Mailing Address - Country:US
Mailing Address - Phone:985-789-7368
Mailing Address - Fax:
Practice Address - Street 1:41207 SNOWBALL CIR
Practice Address - Street 2:
Practice Address - City:PONCHATOULA
Practice Address - State:LA
Practice Address - Zip Code:70454-8424
Practice Address - Country:US
Practice Address - Phone:985-789-7368
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-30
Last Update Date:2009-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant