Active NPIIndividual provider

Piper P Lillard, DO

Family Medicine in Bolton, Connecticut

NPI Number1104920065
Practice location
921 Boston Tpke, Suite 2, Bolton, CT 06043-7403
Fax
860-649-9195
Last updated
November 15, 2019

Piper P Lillard is a Family Medicine based in Bolton, CT. Piper P Lillard practices in Bolton, CT and has the professional credentials of DO. The NPI Number for Piper P Lillard is 1104920065 and holds a License No. 230057 (CT). The current practice location address for Piper P Lillard is 921 Boston Tpke, Suite 2, Bolton, CT 06043-7403 and can be reached out via phone at 860-646-0649 and via fax at 860-649-9195.

Provider Profile Details

NPI Number
1104920065
Provider Name
Piper P Lillard
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
921 Boston Tpke, Suite 2, Bolton, CT 06043-7403
Phone Number
860-646-0649
Fax Number
860-649-9195
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
September 12, 2006
Last Update Date
November 15, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
921 Boston Tpke
Suite 2
Bolton, CT 06043-7403
City
Bolton
Zip
06043-7403
Phone Number
860-646-0649
Fax Number
860-649-9195
Bolton, CT 06043Get directions →

Provider Business Mailing Address Details

Address
54 Eastbrook Hts Apt B
Mansfield Center, CT 06250-1669
City
Mansfield Center
State
CT
Zip
06250-1669
Phone Number
860-456-0586

License Information

License Number
230057
License State
CT
Taxonomy
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Piper P Lillard, DO?

The NPI number of Piper P Lillard, DO is 1104920065. It was assigned on September 12, 2006 and is currently active in the NPPES registry.

What is the specialty of Piper P Lillard, DO?

Piper P Lillard, DO is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in CT under license number 230057.

Where does Piper P Lillard, DO practice?

The practice location is 921 Boston Tpke, Suite 2, Bolton, CT 06043-7403. The office can be reached at 860-646-0649 (phone) or 860-649-9195 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104920065 directly on the NPPES registry website.

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