Individual
TRACEY HARROP LILJESTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 337-7050
(414) 337-7020
Mailing address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 337-7050
(414) 337-7020
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
67663
WI
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
67663
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962768036
—
WI
Enumeration date
04/03/2012
Last updated
04/08/2024
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