Polly A Lilleboe in St Johns - Emergency Medicine

Polly A Lilleboe - NPI 1225182454

Polly A Lilleboe is a Emergency Medicine in St Johns, Michigan. Polly A Lilleboe practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Polly A Lilleboe is 1225182454. The last update date is 2020-02-06.

Polly A Lilleboe's current location address is 805 Oakland Street, St Johns, Michigan. You can contact this provider via phone number 9892273400. The mailing address for Polly A Lilleboe is 805 Oakland Street, St Johns, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Polly A Lilleboe
Address 805 Oakland Street, St Johns, Michigan
Phone Number 9892273400
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1225182454
Provider Enumeration Date 2007-01-23
Last Updated Date 2020-02-06

Provider Mailing Address Detail

Address 805 Oakland Street
City St Johns
State Michigan (MI)
Post Code 48879
Phone Number 9892273400
Fax Number

Provider's Primary Taxonomy Detail

Speciality Emergency Medicine
Taxonomy 207P00000X
Licence No 430104756
Definition:
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
382168683 MI TAX ID
1728309 MI --

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FAQs about Polly A Lilleboe

What is the Polly A Lilleboe's unique identification number?

The Polly A Lilleboe has been assigned the NPI (National Provider Identifier) Number 1225182454 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you share the physical location details of Polly A Lilleboe?

The Polly A Lilleboe is situated at 805 Oakland Street, in the city of St Johns, state of MI, with the zip code 48879.

What is Polly A Lilleboe's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Polly A Lilleboe's specialized field of practice is Emergency Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207P00000X.

On what date did the Polly A Lilleboe receive its 1225182454 assignment from the Centers for Medicare & Medicaid Services?

The Polly A Lilleboe was assigned its 1225182454 by the Centers for Medicare & Medicaid Services on 2007-01-23.

When was the information regarding Polly A Lilleboe, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Polly A Lilleboe, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-02-06.

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