Individual
JOSEPH CAL LILJENQUIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4700 WATERS AVE DEPT OF, SAVANNAH, GA 31404-6220
(801) 529-6260
Mailing address
4700 WATERS AVE DEPT OF, SAVANNAH, GA 31404-6220
(801) 529-6260
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
075483
GA
207L00000X
Anesthesiology Physician
R74032
AZ
207R00000X
Internal Medicine Physician
63212
NY
Other
Enumeration date
05/03/2012
Last updated
11/27/2018
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