Joseph B Lillegard
Surgeon Pediatric Surgery
2530 Chicago Ave Suite 550
Minneapolis
, Minnesota 55404-4289
Joseph B Lillegard
Surgeon Pediatric Surgery
2530 Chicago Ave Suite 550
Minneapolis
, Minnesota 55404-4289
(612) 813-8005
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About
Features
Specialties
- Surgeon
- Pediatric Surgery
Languages spoken
- English
Location
First Address
- Joseph B Lillegard
- 2530 Chicago Ave Suite 550
- Minneapolis, MN
- Zip : 55404-4289
- Fax : (612) 813-8005
- Phone : (612) 813-8606
Second Address
- Joseph B Lillegard
- 2530 Chicago Ave Suite 550
- Minneapolis, MN
- Zip : 55404-4289
- Fax : (612) 813-8005
- Phone : (612) 813-8606
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | 50054 | MN |
| N | 208600000X | Surgeon | 50054 | MN |
| Y | 2086S0120X | Pediatric Surgery | MD451384 | PA |
National Provider Identifier
| NPI | 1346453644 |
|---|---|
| Provider Name | Joseph B Lillegard |
| First Address | Minneapolis, MN 55404-4289 |
| Second Address | Minneapolis, MN 55404-4289 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/05/2007 |
| Last Update Date | 14/08/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 016990000 | (05) | MN |
| 35217100 | (05) | WI |
| ENROLLED | (05) | IA |
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.