Provider Demographics
NPI:1659491900
Name:JEFFREY-SMITH, LILLI ANN (PHD)
Entity Type:Individual
Prefix:DR
First Name:LILLI
Middle Name:ANN
Last Name:JEFFREY-SMITH
Suffix:
Gender:F
Credentials:PHD
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Mailing Address - Street 1:5001 AMERICAN BLVD W STE 980
Mailing Address - Street 2:BIOFEEDBACK TRAINING AND TREATMENT CENTER, INC
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55437-1164
Mailing Address - Country:US
Mailing Address - Phone:952-893-9400
Mailing Address - Fax:952-698-3532
Practice Address - Street 1:5001 AMERICAN BLVD W STE 980
Practice Address - Street 2:BIOFEEDBACK TRAINING AND TREATMENT CENTER, INC
Practice Address - City:BLOOMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55437-1164
Practice Address - Country:US
Practice Address - Phone:952-893-9400
Practice Address - Fax:952-698-3532
Is Sole Proprietor?:No
Enumeration Date:2007-03-30
Last Update Date:2010-04-19
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN3948OtherHEALTH PARTNERS
MN4544126OtherAETNA
MN5049592OtherCIGNA
MN112241OtherUCARE
MN31800OtherPREFERRED ONE