Individual
DR. JOHN HUNT LILLVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1176 MAIN ST, BUFFALO, NY 14209
(716) 881-7917
Mailing address
1176 MAIN ST, BUFFALO, NY 14209-2102
(716) 881-7917
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
289495
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04876748
—
NY
Enumeration date
06/27/2012
Last updated
03/07/2023
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