Healthcare Provider Details

I. General information

NPI: 1801276720
Provider Name (Legal Business Name): ANDREA G LILL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2015
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1808 7TH AVE S
BIRMINGHAM AL
35233-1912
US

IV. Provider business mailing address

1808 7TH AVE S
BIRMINGHAM AL
35233-1912
US

V. Phone/Fax

Practice location:
  • Phone: 205-934-9261
  • Fax: 205-934-7354
Mailing address:
  • Phone: 205-934-9261
  • Fax: 205-934-7354

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number21787
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: