# JOSEPH B LILLEGARD

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1346453644
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | 50054 | MN | — |
| 2086S0120X | Pediatric Surgery Physician | 103103 | WI | — |
| 2086S0120X | Pediatric Surgery Physician | MD451384 | PA | Yes |

## Other

- **Enumeration date:** 05/07/2007
- **Last updated:** 09/25/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 016990000 | — | MN |
| 05 | — | 35217100 | — | WI |
| 05 | — | ENROLLED | — | IA |