Individual
ALISSA C LILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
6600 WESTOWN PKWY, SUITE 220, WEST DES MOINES, IA 50266-7707
(515) 241-2250
(515) 241-2265
Mailing address
8101 BIRCHWOOD CT, SUITE S, JOHNSTON, IA 50131-2930
(515) 471-9720
(515) 471-9725
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1157
NE
Other
Enumeration date
09/27/2006
Last updated
01/10/2011
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