Individual provider · Type 1 NPI

Kristin L. Lilly, PA

Surgical Physician Assistant · Charlottesville, VA

NPI number 1073916045 Active

Practice location

1215 Lee St Fl 2
Charlottesville, VA 22908-0816

Fax (434) 244-7551

Mailing address

PO Box 9007
Charlottesville, VA 22906-9007

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400XC05584 (MD)
Surgical Physician Assistant Primary 363AS0400X0110005573 (VA)

Surgical Physician Assistant: Definition to come...

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About NPI 1073916045

Kristin L. Lilly, PA's National Provider Identifier is 1073916045, issued on Oct 3, 2014. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Charlottesville, VA. The record was last updated on Mar 3, 2017.