Lakeside Healthcare LLC
NPI #1780990457 in Redfield, South Dakota
Provider Information
- NPI Number
- 1780990457
- Entity Type
- Organization
- Organization Name
- Lakeside Healthcare LLC
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- Aug 19, 2010
- Last Updated
- Aug 19, 2010
Practice Location
- Address
- 1010 W 5TH ST
- City
- Redfield
- State
- South Dakota
- ZIP Code
- 57469-2026
- Phone
- (605) 472-2191
Authorized Official
- Name
- ROSANNE A LEMMER
- Title
- ADMINISTRATOR
- Phone
- (605) 472-2191
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
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