Individual
ANNA P LILLIS
Active
Individual
ANNA P LILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., PH.D.
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
35.131257
OH
2085R0202X
Diagnostic Radiology Physician
35.131257
OH
2085R0204X
Vascular & Interventional Radiology Physician
35.131257
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0233211
—
OH
01
—
H595470
CGS - MEDICARE
OH
Enumeration date
09/10/2008
Last updated
07/11/2022
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