Individual
MRS. PAMELA MARIE LILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
106 NORTH 4TH AVE, FERGUS FALLS, MN 56537-1034
(218) 998-3778
(218) 998-3187
Mailing address
107 HWY 59 S, BROOKS, MN 56715
(218) 698-4285
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
L0633024
MN
Other
Enumeration date
01/31/2008
Last updated
01/31/2008
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