Individual
DR. ANDREA G LILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
933 BRADBURY DR SE, SUITE 2222, ALBUQUERQUE, NM 87106-4374
(505) 272-4661
(505) 272-4628
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310
(505) 272-1476
(505) 272-4628
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MD2016-0931
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RS2015-0579
NM LICENSE
NM
Enumeration date
06/05/2015
Last updated
10/10/2024
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