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

DR. JOHN E LILJENQUIST, MD

Active

DR. JOHN E LILJENQUIST, MD is a Endocrinology, Diabetes & Metabolism healthcare provider located in IDAHO FALLS, Idaho. NPI 1619977600 is currently active in the NPPES registry. Verify at CMS.

Endocrinology, Diabetes & Metabolism · IDAHO FALLS, ID

Registration Details

NPI Number
1619977600
Provider Type
Individual
Gender
Male
NPI Issued
Jul 30, 2005 (21.078498818267 yrs)
Last Updated
Jun 2, 2010
License
M4220 (ID)

Practice Information

Address
2220 E 25TH ST
IDAHO FALLS, ID, 834047542
Browse ID providers · Browse ZIP 83404
Phone
2085222996
Fax
2085236025
Primary Specialty
Endocrinology, Diabetes & Metabolism
207RE0101X

Other Endocrinology, Diabetes & Metabolism Providers in IDAHO FALLS, ID

Name Credential NPI
DR. CARL DAVID VANCE MD 1437159423
DR. DAVID REDFORD LILJENQUIST MD 1932109931
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.