Provider Demographics
NPI:1679822266
Name:PILLION, LUCILLE C (PA)
Entity Type:Individual
Prefix:MS
First Name:LUCILLE
Middle Name:C
Last Name:PILLION
Suffix:
Gender:F
Credentials:PA
Other - Prefix:MS
Other - First Name:LUCY
Other - Middle Name:C
Other - Last Name:PILLION
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PA
Mailing Address - Street 1:777 BANNOCK ST
Mailing Address - Street 2:MC 4002
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80204-4507
Mailing Address - Country:US
Mailing Address - Phone:303-602-5011
Mailing Address - Fax:
Practice Address - Street 1:777 BANNOCK ST
Practice Address - Street 2:MC 4002
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80204-4507
Practice Address - Country:US
Practice Address - Phone:303-602-5011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-29
Last Update Date:2014-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDPA00000363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant