Individual provider · Type 1 NPI

Michael Lillpopp, PA

Surgical Physician Assistant · Hartford, CT

NPI number 1861493827 Active

Practice location

114 Woodland St, Dept Of Surgery
Hartford, CT 06105-1208

Call (860) 714-4694 Map

Fax (860) 714-8311

Mailing address

1000 Asylum Ave, Suite 2109A
Hartford, CT 06105-1770

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X000094 (CT)

Surgical Physician Assistant: Definition to come...

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About NPI 1861493827

Michael Lillpopp, PA's National Provider Identifier is 1861493827, issued on Aug 2, 2005. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Hartford, CT. The record was last updated on Nov 1, 2021.