Provider Demographics
NPI:1073186433
Name:LILLARD, CLARE
Entity Type:Individual
Prefix:MRS
First Name:CLARE
Middle Name:
Last Name:LILLARD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:146 N MADISON RD STE 102
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:VA
Mailing Address - Zip Code:22960-1449
Mailing Address - Country:US
Mailing Address - Phone:540-672-1361
Mailing Address - Fax:
Practice Address - Street 1:146 N MADISON RD STE 102
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:VA
Practice Address - Zip Code:22960-1449
Practice Address - Country:US
Practice Address - Phone:540-672-1361
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-22
Last Update Date:2021-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator