Individual
KRISTIN L LILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1215 LEE ST FL 2, CHARLOTTESVILLE, VA 22908-0816
(434) 243-1000
(434) 244-7551
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0110005573
VA
363AS0400X
Surgical Physician Assistant
C05584
MD
Other
Enumeration date
10/03/2014
Last updated
03/03/2017
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