Dr. Lisa Christine Illig
Hospice and Palliative Medicine
6500 Excelsior Blvd
St Louis Park
, Minnesota 55426-4702
Dr. Lisa Christine Illig
Hospice and Palliative Medicine
6500 Excelsior Blvd
St Louis Park
, Minnesota 55426-4702
(952) 993-1456
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About
Features
Specialties
- Hospice and Palliative Medicine
Languages spoken
- English
Location
First Address
- Dr. Lisa Christine Illig
- 6500 Excelsior Blvd
- St Louis Park, MN
- Zip : 55426-4702
- Fax : (952) 993-1456
- Phone : (952) 993-0121
Second Address
- Dr. Lisa Christine Illig
- 6500 Excelsior Blvd
- St Louis Park, MN
- Zip : 55426-4702
- Fax : (952) 993-1456
- Phone : (952) 993-0121
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RH0002X | Hospice and Palliative Medicine | 52246 | MN |
National Provider Identifier
| NPI | 1235177932 |
|---|---|
| Provider Name | Dr. Lisa Christine Illig |
| First Address | St Louis Park, MN 55426-4702 |
| Second Address | St Louis Park, MN 55426-4702 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/06/2006 |
| Last Update Date | 13/10/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00554641 | (05) | VA |
| 005884641 | (05) | VA |
| 209808 | SOUTHERN HEALTH (01) | VA |
| 278633 | (05) | VA |
| 278633 | ANTHEM SVCS/HEALTHKEEPERS (01) | VA |
| 2959204001 | CIGNA (01) | VA |
| 64758 | (05) | VA |
| 64758 | COMMUNITY HEALTH (01) | VA |
| H88688 | (02) | |
| P00074226 | MEDICARE PIN (01) | VA |
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.