Individual
LILLYANN GABBRIEL BURNHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2151 OLD BRICK RD, GLEN ALLEN, VA 23060-5837
(804) 727-6800
Mailing address
2151 OLD BRICK RD, GLEN ALLEN, VA 23060-5837
(804) 727-6800
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110010917
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/30/2025
Last updated
09/17/2025
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