BENJI LILLESTOL
Licensed Practical Nurse
Active
Individual
NPI: 1164908158
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | Yes | L4306 (ND) |
Frequently Asked Questions
NPI 1164908158 is the National Provider Identifier for BENJI LILLESTOL, a Licensed Practical Nurse provider located in Mandan, ND. This NPI was enumerated on July 13, 2018.
BENJI LILLESTOL practices at 1200 COLLINS AVE, Mandan, ND 58554.
Quick Facts
- NPI
- 1164908158
- Type
- Individual
- Enumerated
- Jul 13, 2018
- Last Updated
- Jul 13, 2018
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