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Matthew Lillis, PAC

NPI 1972069896 · on the registry since 2019

Practice

Address
4092 Foxwood Dr Ste 101
Virginia Beach, VA 23462
Phone
(757) 446-7420
Fax
(757) 467-4173
Organisation at this address
Emergency Physician Of Tidewater
Emergency Physicians Of Tidewater, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
134

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-02-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia