Individual
DR. RONALD R LILJEDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
807 N JUSTICE ST, HENDERSONVILLE, NC 28791-3409
(828) 693-0294
(828) 697-5738
Mailing address
807 N JUSTICE ST, HENDERSONVILLE, NC 28791-3409
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
24678
NC
2085R0202X
Diagnostic Radiology Physician
Primary
24678
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51982
BCBSNC
NC
05
—
8951982
—
NC
05
—
N24678
—
SC
Enumeration date
06/23/2006
Last updated
01/22/2015
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