Provider Demographics
NPI:1205528734
Name:SANFILIPPO, LILY JEAN (OD)
Entity type:Individual
Prefix:DR
First Name:LILY
Middle Name:JEAN
Last Name:SANFILIPPO
Suffix:
Gender:F
Credentials:OD
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Mailing Address - Street 1:214 EASTERN AVE UNIT 8
Mailing Address - Street 2:
Mailing Address - City:GLOUCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01930-1952
Mailing Address - Country:US
Mailing Address - Phone:978-865-3276
Mailing Address - Fax:978-865-3288
Practice Address - Street 1:214 EASTERN AVE UNIT 8
Practice Address - Street 2:
Practice Address - City:GLOUCESTER
Practice Address - State:MA
Practice Address - Zip Code:01930-1952
Practice Address - Country:US
Practice Address - Phone:978-865-3276
Practice Address - Fax:978-865-3288
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-23
Last Update Date:2024-09-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA5614152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist