National Provider Identifier
David B Lillie, M.D.
David B Lillie, M.D. is listed in the NPPES registry with a primary specialty of Specialist in Kenmore, NY and a listed phone number of (716) 873-3828.
Profile Overview
- NPI
- 1952306201
- Provider Type
- Individual
- Primary Specialty
- Specialist
- Enumeration Date
- June 14, 2005
- Last Updated
- August 19, 2019
Practice Location
- 3800 Delaware Ave
- Ste 104
- Kenmore, NY 14217-1094
Phone: (716) 873-3828
Mailing Address
- 400 International Dr
- Williamsville, NY 14221-5771
Specialties
- Specialist (174400000X)
Full Record
- NPI
- 1952306201
- Entity Type
- Individual
- Last Name
- Lillie
- First Name
- David
- Middle Name
- B
- Name Prefix
- Dr.
- Credential
- M.D.
- Mailing Street Address
- 400 International Dr
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-5771
- Mailing Country
- US
- Mailing Phone
- (716) 873-3828
- Mailing Fax
- (716) 873-5463
- Practice Street Address
- 3800 Delaware Ave
- Practice Address Line 2
- Ste 104
- Practice City
- Kenmore
- Practice State
- NY
- Practice ZIP Code
- 14217-1094
- Practice Country
- US
- Practice Phone
- (716) 873-3828
- Practice Fax
- (716) 873-5463
- Enumeration Date
- June 14, 2005
- Last Updated
- August 19, 2019
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Specialist (174400000X)
- Other Identifiers
- 1900426 (NY, Iha), 00010104801 (NY, Univera), 00607167 (NY), 040426001716 (NY, Fidelis)