Individual
DR. BRIAN B LILJENQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1250 E 3900 S STE 440, SALT LAKE CITY, UT 84124
(801) 869-4100
(801) 869-4119
Mailing address
1250 E 3900 S STE 440, SALT LAKE CITY, UT 84124-1349
(801) 869-4100
(801) 869-4119
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
8369999-0501
UT
Other
Enumeration date
06/27/2011
Last updated
06/06/2018
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