Individual
DR. JOSEPH VINCENT LILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3609 S TIMBERLINE RD UNIT A, FORT COLLINS, CO 80525-3430
(970) 305-4341
(970) 482-9948
Mailing address
2121 E. HARMONY RD, SUITE 270, FORT COLLINS, CO 80528-3402
(970) 305-4341
(970) 482-9948
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
A109366
CA
207N00000X
Dermatology Physician
Primary
DR.0047867
CO
207N00000X
Dermatology Physician
LL16967
OR
207NS0135X
Procedural Dermatology Physician
47867
CO
Other
Enumeration date
01/07/2008
Last updated
02/15/2023
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