NPI 1477225308

Brian R Lillis

Practitioner Home Health Aide Washington, UT

Practice location

Address: 470 E Bulloch St, Washington, UT 84780-1774
Phone: (208) 473-6880

Registered specialties

Home Health Aide Primary

Nursing Service Related Providers Taxonomy 374U00000X Licence 12435793 (UT)

Other Home Health Aide providers in Utah →

Registry record

NPI: 1477225308
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Sep 2021
Record last updated: 29 Sep 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.