Internal Medicine
JOHNATHAN LILJENQUIST DO
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1558985408 · enumerated 2020-06-05 · record updated 2023-08-02. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 2442 E 25TH ST, IDAHO FALLS, ID, 83404-7549 (208) 522-7310 Google Maps Apple Maps OpenStreetMap
- Practice location 2442 E 25TH ST, IDAHO FALLS, ID, 83404-7549 (208) 522-7310 Google Maps Apple Maps OpenStreetMap
Specialties
- Internal Medicine 207R00000X · Primary · License O-1865 ID
In this directory
Locations and evidence
-
Practice location
IDAHO FALLS, ID, 834047549
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.