Provider Demographics
NPI:1114488921
Name:STEFFENSON, LILLIA N (MD)
Entity type:Individual
Prefix:
First Name:LILLIA
Middle Name:N
Last Name:STEFFENSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:6620 FLY RD STE 200
Mailing Address - Street 2:
Mailing Address - City:EAST SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13057-4282
Mailing Address - Country:US
Mailing Address - Phone:315-464-5551
Mailing Address - Fax:315-464-5229
Practice Address - Street 1:6620 FLY RD STE 100
Practice Address - Street 2:
Practice Address - City:EAST SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13057-4281
Practice Address - Country:US
Practice Address - Phone:315-464-4472
Practice Address - Fax:315-464-5222
Is Sole Proprietor?:No
Enumeration Date:2019-03-26
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAMD61526488207X00000X, 207XX0801X
NY336630207XX0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0801XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Trauma
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery