Individual
ROGER DOUGLAS LILLEMOEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13911 RIDGEDALE DR, SUITE 350, MINNETONKA, MN 55305-1771
(952) 932-9012
Mailing address
3050 LITTLE BAY RD, ROSEVILLE, MN 55113-2111
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
17744
MN
Other
Enumeration date
01/19/2007
Last updated
07/08/2007
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