Individual
DUSTIN LEE LILLEGAARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
701 DELLWOOD ST S, CAMBRIDGE, MN 55008-1920
(763) 688-7782
(763) 688-7716
Mailing address
701 DELLWOOD ST S, CAMBRIDGE, MN 55008-1920
(763) 688-7782
(763) 688-7716
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
004929
IA
225100000X
Physical Therapist
Primary
9568
MN
Other
Enumeration date
11/19/2012
Last updated
08/12/2014
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