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Search › North Dakota › 363A00000X

Agatha Ottem Lill, PA-C

NPI 1093236267 · on the registry since 2017

Practice

Address
1750 47th Ave S
Grand Forks, ND 58201
Phone
(701) 757-8700
Fax
(701) 234-1147
Clinicians at this address
18

Additional practice sites

  • 621 Demers Ave, East Grand Forks, MN
  • 3035 Demers Ave, Grand Forks, ND
  • 4440 S Washington St, Grand Forks, ND
  • 625 Demers Ave, East Grand Forks, MN

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
363A00000X
Licence states on file
MN, ND
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-06-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Dakota