Individual
ANN F LILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
60 MAPLE RD, STE 1, WILLIAMSVILLE, NY 14221-2917
(716) 626-5250
(716) 332-2218
Mailing address
60 MAPLE RD, STE 1, WILLIAMSVILLE, NY 14221-2917
(716) 626-5250
(716) 332-2218
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F301173
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00027009201
UNIVERA
NY
01
—
000560817002
BLUE CROSS OF WNY
NY
05
—
02502481
—
NY
01
—
9512113
INDEPENDENT HEALTH
NY
Enumeration date
12/21/2005
Last updated
12/06/2013
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