Individual
MRS. AMYE SUZETTE LILLJEDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
235 W PALM ST STE 106, BELLVILLE, TX 77418-1300
(979) 810-0575
(979) 810-0591
Mailing address
235 W PALM ST STE 105, BELLVILLE, TX 77418-1300
(979) 865-3124
(979) 865-9193
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01100
TX
Other
Enumeration date
02/02/2010
Last updated
05/30/2025
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