Dr. Jennifer Nicole Lillemon
Female Pelvic Medicine and Reconstructive Surgeon
100 E Idaho St Ste 304
Boise
, Idaho 83712
Dr. Jennifer Nicole Lillemon
Female Pelvic Medicine and Reconstructive Surgeon
100 E Idaho St Ste 304
Boise
, Idaho 83712
(208) 381-7040
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About
Features
Specialties
- Female Pelvic Medicine and Reconstructive Surgeon
Languages spoken
- English
Location
First Address
- Dr. Jennifer Nicole Lillemon
- 100 E Idaho St Ste 304
- Boise, ID
- Zip : 83712-6269
- Phone : (208) 381-7040
Second Address
- Dr. Jennifer Nicole Lillemon
- 100 E Idaho St Ste 304
- Boise, ID
- Zip : 83712
- Phone : (208) 381-7040
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | MD177334 | OR |
National Provider Identifier
| NPI | 1467718932 |
|---|---|
| Provider Name | Dr. Jennifer Nicole Lillemon |
| First Address | Boise, ID 83712-6269 |
| Second Address | Boise, ID 83712 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/04/2012 |
| Last Update Date | 15/05/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.