Individual
TESSA ELIZABETH LILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
840 WINTER ST, WALTHAM, MA 02451-1433
(781) 890-2133
(781) 890-2177
Mailing address
3193 WASHINGTON ST PH 2, BOSTON, MA 02130-2674
(207) 694-5676
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA100093
MA
Other
Enumeration date
09/13/2023
Last updated
01/17/2024
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