Individual
DR. NICHOLAS VIJAY LILLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
6101 LAKE MICHIGAN DR, SUITE B 700, ALLENDALE, MI 49401-9215
(616) 895-2020
(616) 895-2060
Mailing address
6101 LAKE MICHIGAN DR, STE B700, ALLENDALE, MI 49401-9215
(616) 895-2020
(616) 895-2060
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004659
MI
Other
Enumeration date
07/18/2011
Last updated
07/11/2024
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