Most Relevant Information
Provider Data
| NPI Number: | 1003566555 |
| Provider Name: | LILY KATHLEEN WARD MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/27/2022 |
| Last Updated: | 03/27/2022 |
Provider Practice Location
2020 E 28TH ST
MINNEAPOLIS
MN
554071394
Practice Location Phone/Fax
| Phone: | 6123437158 |
| Fax: | 6123590475 |
Provider Mailing Location
2020 E 28TH ST
MINNEAPOLIS
MN
554071394
Provider Mailing Phone/Fax
| Phone: | 6123437158 |
| Fax: | 6123590475 |