Active NPIIndividual provider

Brandon Lillard, BA

Case Manager/Care Coordinator in Waterbury, Connecticut

NPI Number1962882324
Practice location
402 E Main St, Waterbury, CT 06702-1701
Fax
203-753-3274
Last updated
June 1, 2015

Brandon Lillard is a Case Manager/Care Coordinator based in Waterbury, CT. Brandon Lillard practices in Waterbury, CT and has the professional credentials of BA. The NPI Number for Brandon Lillard is 1962882324. The current practice location address for Brandon Lillard is 402 E Main St, Waterbury, CT 06702-1701 and can be reached out via phone at 203-755-1143 and via fax at 203-753-3274.

Provider Profile Details

NPI Number
1962882324
Provider Name
Brandon Lillard
Credential
BA
Provider Entity Type
Individual
Gender
Male
Address
402 E Main St, Waterbury, CT 06702-1701
Phone Number
203-755-1143
Fax Number
203-753-3274
Primary Taxonomy
Case Manager/Care Coordinator · 171M00000X
Sole Proprietor
No
Provider Enumeration Date
June 1, 2015
Last Update Date
June 1, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
402 E Main St
Waterbury, CT 06702-1701
Zip
06702-1701
Phone Number
203-755-1143
Fax Number
203-753-3274
Waterbury, CT 06702Get directions →

Provider Business Mailing Address Details

Address
141 E Main St
4TH Floor Administration
Waterbury, CT 06702-2310
City
Waterbury
State
CT
Zip
06702-2310
Phone Number
203-574-9000
Fax Number
203-574-9006

License Information

Taxonomy
Case Manager/Care Coordinator · 171M00000X · 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 Brandon Lillard, BA?

The NPI number of Brandon Lillard, BA is 1962882324. It was assigned on June 1, 2015 and is currently active in the NPPES registry.

What is the specialty of Brandon Lillard, BA?

Brandon Lillard, BA is registered under the primary taxonomy Case Manager/Care Coordinator (code 171M00000X).

Where does Brandon Lillard, BA practice?

The practice location is 402 E Main St, Waterbury, CT 06702-1701. The office can be reached at 203-755-1143 (phone) or 203-753-3274 (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 1962882324 directly on the NPPES registry website.

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