NPI 1033448634

Jesse Ray Lillejord, DC

Practitioner Chiropractor Eden Prairie, MN

Practice location

Address: 800 Prairie Center Dr Suite 200, Eden Prairie, MN 55344-7328
Phone: (952) 943-1188
Fax: (952) 943-1177

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence 5333 (MN)

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Registry record

NPI: 1033448634
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Dec 2009
Record last updated: 29 Oct 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.