Individual
MS. GILLIAN ELICE LAVIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1002 18TH AVE SE, MINOT, ND 58701-6785
(701) 852-6143
(701) 418-0778
Mailing address
1002 18TH AVE SE, MINOT, ND 58701-6785
(701) 852-6143
(701) 418-0778
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
13774
ND
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/28/2010
Last updated
12/14/2024
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