| Joseph L Lillo, Do, Pc | |
|
3501 N Scottsdale Rd Ste 346 Scottsdale AZ 85251-5632 | |
| (480) 945-3873 | |
| (480) 945-5992 |
| Full Name | Joseph L Lillo, Do, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3501 N Scottsdale Rd Ste 346, Scottsdale, Arizona |
| Authorized Official Name and Position | Joseph Leonard Lillo (PHYSICIAN) |
| Authorized Official Contact | 4809453873 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph L Lillo, Do, Pc 7464 E Leland Cir Mesa AZ 85207-2030 Ph: (602) 206-9788 | Joseph L Lillo, Do, Pc 3501 N Scottsdale Rd Ste 346 Scottsdale AZ 85251-5632 Ph: (480) 945-3873 |
| NPI Number | 1750946877 |
|---|---|
| Provider Enumeration Date | 05/03/2019 |
| Last Update Date | 05/03/2019 |
| Medicare PECOS PAC ID | 6507195732 |
|---|---|
| Medicare Enrollment ID | O20190912001788 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750946877 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Joseph Leonard Lillo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396765293 PECOS PAC ID: 0749305407 Enrollment ID: I20100917000673 |
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