Individual
DR. STEPHANIE CHRISTINE LILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
100 20TH ST NW, STEWARTVILLE, MN 55976-1003
(507) 533-4777
(507) 533-4778
Mailing address
100 20TH ST NW, STEWARTVILLE, MN 55976-1003
(507) 533-4777
(507) 533-4778
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4424
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
033943100
—
MN
01
—
091K3AD
BCBS CLINIC #
MN
01
—
091K5LI
BCBS INDIVIDUAL #
MN
05
—
894642600
—
MN
Enumeration date
06/20/2005
Last updated
01/09/2014
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