IndividualActive
Lisa Illig, MD
NPI 1235177932 · Hospice and Palliative Medicine (Internal Medicine) Physician · St Louis Park, MN
Provider details
- NPI number
- 1235177932
- Entity type
- Individual
- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 52246 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
6500 Excelsior Blvd
St Louis Park, MN 55426-4702
Phone: (952) 993-0121
Fax: (952) 993-1456
Approximate (ZIP-level) locationGet directions
Mailing address
6500 Excelsior Blvd
St Louis Park, MN 55426-4702
Registry dates
- Enumerated
- 2006-06-03
- Last updated
- 2011-10-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.