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Dr. Jennifer Nicole Lillemon, MD
Student in an Organized Health Care Education/Training Program in Boise, Idaho
NPI 1467718932

Jennifer Nicole Lillemon is a Student in an Organized Health Care Education/Training Program based in Boise, ID. Jennifer Nicole Lillemon practices in Boise, ID and has the professional credentials of MD. The NPI Number for Jennifer Nicole Lillemon is 1467718932 and holds a License No. MD177334 (Idaho).

The current practice location address for Jennifer Nicole Lillemon is 100 E Idaho St Ste 304, Boise, ID and can be reached out via phone at 208-381-7040.

Location: 100 E Idaho St Ste 304, Boise, ID, 83712-6269
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467718932
Provider Name
Jennifer Nicole Lillemon
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
100 E Idaho St Ste 304, Boise, ID, 83712-6269
Phone Number
208-381-7040
Fax Number
Provider Enumeration Date
04/09/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
100 E Idaho St Ste 304
City
Boise
State
Idaho
Zip
83712
Phone Number
208-381-7040
Fax Number
person
Provider Business Mailing Address Details
Address
100 E Idaho St Ste 304
City
Boise
State
Idaho
Zip
83712
Phone Number
208-381-7040
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Female Pelvic Medicine and Reconstructive Surgery
Taxonomy
207VF0040X
License No.
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Definition
A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
MD177334 (Oregon)
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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