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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AGATHA J OTTEM LILL, PA-C

Active

AGATHA J OTTEM LILL, PA-C is a Physician Assistant healthcare provider located in GRAND FORKS, North Dakota. NPI 1093236267 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · GRAND FORKS, ND

Registration Details

NPI Number
1093236267
Provider Type
Individual
Gender
Female
NPI Issued
Jun 28, 2017 (9.1096041753593 yrs)
Last Updated
Nov 9, 2020
License
0689 (ND)

Practice Information

Address
4440 S WASHINGTON ST
GRAND FORKS, ND, 582017245
Browse ND providers · Browse ZIP 58201
Phone
7017327000
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in GRAND FORKS, ND

Name Credential NPI
KAREN GLAVIN PA-C 1700868239
DAVID B EBERLY PA-C 1306819941
MRS. SANDRA L MCGAUGHEY PA-C 1104885508
MS. PAULA OSOWSKI PA 1770549941
MS. NICOLE ANVINSON PA 1518923994
PAUL RAYMOND ANDERSON PA-C 1780613042
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.