Individual
VICTORIA A LILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
186 MEDICAL VILLAGE DR, NEWPORT, VT 05855-8537
(802) 334-3520
Mailing address
189 PROUTY DR, NEWPORT, VT 05855-9820
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
VT
Other
Enumeration date
01/07/2021
Last updated
09/18/2024
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