Individual
SAMANTHA LILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
330 CRAMPTON ST, RENO, NV 89502-2480
(775) 329-6300
(775) 348-3896
Mailing address
680 S ROCK BLVD, RENO, NV 89502-4113
(775) 329-6300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2763
NV
Other
Enumeration date
05/10/2023
Last updated
10/16/2024
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