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LILYCARE CLINIC
NPI 1023282969
Clinic/Center - Primary Care in West Fargo, ND

Active since April 22, 2008
550 13TH AVE E, WEST FARGO, ND 58078(701) 356-5459(701) 356-3764 Get Directions Write a Review

NPPES record last updated: August 1, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lilycare Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LILYCARE CLINIC (NPI 1023282969) is a healthcare organization registered as a primary care in West Fargo, North Dakota and active in the NPI registry since April 2008. The organization lists Tracie M Mallberg, President, as its authorized official.

NPPES Registry Identity

NPI1023282969
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameTRACIE M MALLBERG MD PC
Location Address550 13TH AVE EWest Fargo, ND 58078-3360
Mailing Address550 13th Ave EWest Fargo, ND 58078-3360 · (701) 356-5459 · Fax (701) 356-3764
Phone(701) 356-5459
Fax(701) 356-3764
Organization SubpartNo
Authorized OfficialTracie M MallbergPresident · (701) 356-5459
Enumeration DateApril 22, 2008
Last NPPES UpdateAugust 1, 2008
✔ NPI 1023282969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in ND · 9395
550 13TH AVE E, West Fargo, ND 58078
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Other Names 1

Doing Business AsLilycare Clinic

Other Identifiers 1

Medicaid14788ND

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. STEPHEN JAMES SYVERSON PHARMD
Pharmacist
550 13TH AVE E
WEST FARGO, ND 58078
Cass County (701) 373-0685
MS. SUSAN LYNN BRENAN R.PH.
Pharmacist
550 13TH AVE E
WEST FARGO, ND 58078
Cass County (701) 373-0865
KARL ALLEN KRENZ PHARM.D.
Pharmacist
550 13TH AVE E
WEST FARGO, ND 58078
Cass County (701) 373-0685
KATHARINE ANNE GOEHRING KARN L.M.T.
Specialist
550 13TH AVE E
WEST FARGO, ND 58078
Cass County (701) 364-2739
DR. BRIANNE JEAN WILCOX PHARMD, RPH
Pharmacist
550 13TH AVE E
WEST FARGO, ND 58078
Cass County (701) 373-0685

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tracie M Mallberg MD PC's NPI number?

The NPI number for Tracie M Mallberg MD PC is 1023282969. It was assigned to this organization in the NPPES registry on April 22, 2008. The provider is doing business as Lilycare Clinic.

Where is Tracie M Mallberg MD PC located?

Tracie M Mallberg MD PC is located at 550 13th Ave E, West Fargo, ND 58078. The listed phone number is (701) 356-5459.

What is Tracie M Mallberg MD PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Tracie M Mallberg MD PC was last updated on August 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.