Individual provider · Type 1 NPI
Jennifer Nicole Lillemon, MD
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician · Boise, ID
Practice location
100 E Idaho St Ste 304
Boise, ID 83712
Other practice locations
- 3181 SW Sam Jackson Park Road, Ohsu, Portland, OR 97239 · (503) 494-8211
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician Primary | 207VF0040X | MD177334 (OR) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician: A subspecialist in Urogynecology and Reconstructive Pelvic 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 nec…
About NPI 1467718932
Jennifer Nicole Lillemon, MD's National Provider Identifier is 1467718932, issued on Apr 9, 2012. The primary taxonomy on file is Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician (207VF0040X), and the practice location is in Boise, ID. The record was last updated on May 15, 2019.