person
Dr. John Lillegraven, MD
Student in an Organized Health Care Education/Training Program in Southampton, New York
NPI 1427634872

John Lillegraven is a Student in an Organized Health Care Education/Training Program based in Southampton, NY. John Lillegraven practices in Southampton, NY and has the professional credentials of MD. The NPI Number for John Lillegraven is 1427634872 and holds a License No. (New York).

The current practice location address for John Lillegraven is 240 Meeting House Ln, Southampton, NY and can be reached out via phone at 631-726-0409 and via fax at 631-726-0396.

Location: 240 Meeting House Ln, Southampton, NY, 11968-5009
person
Provider Profile Details
NPI Number
1427634872
Provider Name
John Lillegraven
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
240 Meeting House Ln, Southampton, NY, 11968-5009
Phone Number
631-726-0409
Fax Number
631-726-0396
Provider Enumeration Date
03/23/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
240 Meeting House Ln
City
State
Zip
11968-5009
Phone Number
631-726-0409
Fax Number
631-726-0396
person
Provider Business Mailing Address Details
Address
240 Meeting House Ln
City
State
Zip
11968-5009
Phone Number
631-726-0409
Fax Number
631-726-0396
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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