Individual
MR. PETER LILJEBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9891 GENERAL PULLER HWY, HARTFIELD, VA 23071-3122
(804) 776-9221
(804) 776-7537
Mailing address
9891 GENERAL PULLER HWY, HARTFIELD, VA 23071-3122
(804) 776-9221
(804) 776-7537
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101260392
VA
207Q00000X
Family Medicine Physician
170054-1
NY
Other
Enumeration date
07/20/2005
Last updated
03/30/2017
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