Individual
DR. LISA JANE GILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
601 5TH ST S, ST PETERSBURG, FL 33701-4804
(727) 767-8491
Mailing address
601 5TH ST S, ST PETERSBURG, FL 33701-4804
(727) 767-8491
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
C152190
CA
Other
Enumeration date
10/18/2017
Last updated
06/20/2024
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