Elizabeth A Liljeblad in Hermantown - Family Medicine
Elizabeth A Liljeblad - NPI 1104875632
Elizabeth A Liljeblad is a Family Medicine in Hermantown, Minnesota. Elizabeth A Liljeblad practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Elizabeth A Liljeblad is 1104875632. The last update date is 2017-01-27.
Elizabeth A Liljeblad's current location address is 4190 Loberg Ave, Hermantown, Minnesota. You can contact this provider via phone number 2182494600 and fax number 2182494666. The mailing address for Elizabeth A Liljeblad is 4190 Loberg Ave, Hermantown, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elizabeth A Liljeblad |
|---|---|
| Address | 4190 Loberg Ave, Hermantown, Minnesota |
| Phone Number | 2182494600 |
| Fax Number | 2182494666 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1104875632 |
|---|---|
| Provider Enumeration Date | 2006-05-10 |
| Last Updated Date | 2017-01-27 |
Provider Mailing Address Detail
| Address | 4190 Loberg Ave |
|---|---|
| City | Hermantown |
| State | Minnesota (MN) |
| Post Code | 558112652 |
| Phone Number | 2182494600 |
| Fax Number | 2182494666 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 32718 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 933297900 | MN | -- | |
| P00082385 | MN | MEDICARE RR |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Elizabeth A Liljeblad by the Centers for Medicare & Medicaid Services?
The Elizabeth A Liljeblad has been issued the NPI (National Provider Identifier) 1104875632, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Elizabeth A Liljeblad's facilities are geographically located?
The facilities of Elizabeth A Liljeblad are physically situated at the following location: 4190 Loberg Ave, Hermantown, MN, 558112652.
What is the Elizabeth A Liljeblad's specialty and taxonomy code?
The Elizabeth A Liljeblad's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1104875632 to Elizabeth A Liljeblad?
The Centers for Medicare & Medicaid Services originally issued the 1104875632 to Elizabeth A Liljeblad on 2006-05-10.
As of what date were the details related to Elizabeth A Liljeblad most recently updated or revised?
The information pertaining to Elizabeth A Liljeblad, including its address, specialty, and other relevant details, was last updated or revised on 2017-01-27.