Elizabeth A Liljeblad, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

32718 Issued in MN

Practice address

4190 Loberg Ave
Hermantown, MN 55811-2652

Phone

(218) 249-4600

Fax

(218) 249-4666

NPI assigned

May 10, 2006

Last updated

Jan 27, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: elizabeth.liljeblad@slk.direct.slhduluth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• St. Luke's Hospital of Duluth

  dba Aspirus St Lukes Hospital

  • General Acute Care Hospital
  • Duluth, MN
  • NPI 1801835970
  NPD
• Firstsolutions

  dba Superior Health Pharmacy

  • Community/Retail Pharmacy
  • Two Harbors, MN
  • NPI 1780600759
  NPD (past)
• Residential Services of NE MN Inc.

  • Mental Health Counselor
  • Duluth, MN
  • NPI 1821150236
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485475200000",
    "number": "1104875632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4190 LOBERG AVE",
            "city": "HERMANTOWN",
            "state": "MN",
            "postal_code": "558112652",
            "telephone_number": "218-249-4600",
            "fax_number": "218-249-4666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4190 LOBERG AVE",
            "city": "HERMANTOWN",
            "state": "MN",
            "postal_code": "558112652",
            "telephone_number": "218-249-4600",
            "fax_number": "218-249-4666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILJEBLAD",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2017-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "32718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jayci Kay Lee
• Rebecca Marie-Lewis Lee, PT
• Wing Ki Lee
• Rebecca Rae Lemke, RBT
• Molly Elizabeth Lenmark
• Julie Lind
• Peyton Sophia Lind
• Eden Joy Lindmeier
• Olivia Rose Lopac
• Carrie Lynn Lott-Grambush, APRN, CNP

• Family Medicine Physician in Hermantown, MN
• Providers in Hermantown, MN by specialty
• Family Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.