Individual
LYNETTE GILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
411 E CHESTNUT ST STE 5B, LOUISVILLE, KY 40202-1713
(502) 588-2330
(502) 588-9513
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
(502) 588-9490
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
57884
KY
2080P0206X
Pediatric Gastroenterology Physician
MD38932
TN
Other
Enumeration date
10/09/2006
Last updated
02/12/2024
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