Individual
EMMA KAY LILLEBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1430 NORTH HWY, JACKSON, MN 56143-1093
(507) 847-2420
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11930
MN
Other
Enumeration date
08/30/2024
Last updated
11/18/2024
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