Dr. Lisa Jane Gillis
Clinical Genetics (M.D.)
601 5th St S
St Petersburg
, Florida 33701-4804
Dr. Lisa Jane Gillis
Clinical Genetics (M.D.)
601 5th St S
St Petersburg
, Florida 33701-4804
(727) 767-8491
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About
Features
Specialties
- Clinical Genetics (M.D.)
Languages spoken
- English
Location
First Address
- Dr. Lisa Jane Gillis
- 601 5th St S
- St Petersburg, FL
- Zip : 33701-4804
- Phone : (727) 767-8491
Second Address
- Dr. Lisa Jane Gillis
- 601 5th St S
- St Petersburg, FL
- Zip : 33701-4804
- Phone : (727) 767-8491
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207SG0201X | Clinical Genetics (M.D.) | C152190 | CA |
National Provider Identifier
| NPI | 1639680614 |
|---|---|
| Provider Name | Dr. Lisa Jane Gillis |
| First Address | St Petersburg, FL 33701-4804 |
| Second Address | St Petersburg, FL 33701-4804 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/10/2017 |
| Last Update Date | 06/11/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.