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Jennifer Lillemon, M.D. — NPI 1467718932, Boise, ID | NPI Central

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NPI 1467718932

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Jennifer Lillemon, M.D.

NPI 1467718932 · Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician · Boise, ID

Provider details

NPI number: 1467718932
Entity type: Individual
Primary specialty: Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianAllopathic & Osteopathic Physicians
Credential: M.D.
Sex: Female
Sole proprietor: No
License: MD177334 (OR)

Specialties & taxonomies

Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianPrimary207VF0040XLicense MD177334 (OR)
Allopathic & Osteopathic Physicians
Student in an Organized Health Care Education/Training Program390200000X
Student, Health Care

Practice location

100 E Idaho St Ste 304

Boise, ID 83712

Phone: (208) 381-7040

Approximate (ZIP-level) locationGet directions

More ID providers

Mailing address

100 E Idaho St Ste 304

Boise, ID 83712-6269

Additional practice locations (1)

3181 Sw Sam Jackson Park Road
Ohsu
Portland, OR 97239
Phone: (503) 494-8211

Registry dates

Enumerated: 2012-04-09
Last updated: 2019-05-15

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.