Individual
DR. CHRISTOPHER LILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 MEDICAL PLAZA DR STE 200, ROSEVILLE, CA 95661-3042
(916) 797-4715
Mailing address
PO BOX 255228, SACRAMENTO, CA 95865-5228
(185) 577-1033
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101237920
VA
207R00000X
Internal Medicine Physician
Primary
C137799
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699773127
—
VA
Enumeration date
07/08/2005
Last updated
10/02/2020
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