MATTHEW LILLIS

VIRGINIA BEACH, VA
NPI1972069896
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: VA  0110006573)
Enumeration Date2019-02-15
Last Update Date2019-02-15
Business Address
MATTHEW LILLIS PAC
4092 FOXWOOD DR STE 101
VIRGINIA BEACH, VA 23462-5225
Phone number: 757-446-7420
Mailing Address
MATTHEW LILLIS PAC
4092 FOXWOOD DR STE 101
VIRGINIA BEACH, VA 23462-5225
Phone number: 757-467-4200