Lill, Andrea G
Lill, Andrea G is an individual health care provider with primary practice located at 933 Bradbury Dr Se Suite 2222, Albuquerque NM 87106-4374. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Lill, Andrea G can be contacted via phone (505) 272-4661.Contact Information
Primary practice address
933 Bradbury Dr Se Suite 2222
Albuquerque NM 87106-4374
Phone: (505) 272-4661
Fax: (505) 272-4628
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | MD2016-0931 | New Mexico |
Profile Details
| NPI number | 1801276720 |
|---|---|
| LBN Legal business name | Lill, Andrea G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 5th, 2015 |
| Last updated | Jul 15th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801276720 | NPPES |
| New Mexico | Other | RS2015-0579 | NM LICENSE |
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