Individual
RYAN LILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8401 GOLDEN VALLEY RD, GOLDEN VALLEY, MN 55427-4486
(952) 993-8300
(952) 993-8331
Mailing address
P O BOX 1309, MS21110Q, MINNEAPOLIS, MN 55440-1309
(952) 883-7172
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12000
MN
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
10/28/2015
Last updated
12/12/2018
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