Individual
LYNNE HILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1453 WHALLEY AVE, NEW HAVEN, CT 06515-1153
(203) 389-4111
(203) 889-4953
Mailing address
1453 WHALLEY AVE, NEW HAVEN, CT 06515-1153
(203) 389-4111
(203) 889-4953
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
031055
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0013110557
—
CT
01
—
010031055CT01
ANTHEM
CT
01
—
031055
CONNECTICARE
CT
01
—
0470255
AETNA
CT
01
—
110169706
MEDICARE RAILROAD
CT
01
—
D400104641
MEDICARE ID
CT
01
—
OV7607
HEALTHNET
CT
01
—
P404271
OXFORD
CT
Enumeration date
06/27/2005
Last updated
05/27/2021
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