IndividualActive
Lisa Gillis, MD
NPI 1639680614 · Clinical Genetics (M.D.) Physician · St Petersburg, FL
Provider details
- NPI number
- 1639680614
- Entity type
- Individual
- Primary specialty
- Clinical Genetics (M.D.) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- C152190 (CA)
Mailing address
601 5th St S
St Petersburg, FL 33701-4804
Registry dates
- Enumerated
- 2017-10-18
- Last updated
- 2024-06-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.