Individual
DR. DANA F LILJENQUIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1605 N ARTHUR AVE, POCATELLO, ID 83204-2504
(208) 233-4700
(208) 233-4701
Mailing address
1605 N ARTHUR AVE, POCATELLO, ID 83204-2504
(208) 233-4700
(208) 233-4701
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-409
ID
Other
Enumeration date
11/30/2006
Last updated
07/09/2007
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