Individual
LILLIE DODD CARLILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
909 FULTON ST SE, MINNEAPOLIS, MN 55455-4800
(612) 273-8383
Mailing address
909 FULTON ST SE, MINNEAPOLIS, MN 55455-4800
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
9744
MN
363LA2200X
Adult Health Nurse Practitioner
SP025497
PA
Other
Enumeration date
01/13/2016
Last updated
10/15/2024
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