Individual
DR. ELIZABETH A LILJEBLAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4190 LOBERG AVE, HERMANTOWN, MN 55811-2652
(218) 249-4600
(218) 249-4666
Mailing address
4190 LOBERG AVE, HERMANTOWN, MN 55811-2652
(218) 249-4600
(218) 249-4666
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
32718
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
933297900
—
MN
01
—
P00082385
MEDICARE RR
MN
Enumeration date
05/10/2006
Last updated
01/27/2017
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