Whalio Doctors

NPI 1780990457

Lakeside Healthcare LLC

Organisation Exclusive Provider Organization Redfield, SD

Practice location

Address
1010 W 5th St, Redfield, SD 57469-2026
Phone
(605) 472-2191
Fax
(605) 472-2194

Authorised official

Name
Rosanne a Lemmer
Title
Administrator
Phone
(605) 472-2191

Registered specialties

Exclusive Provider Organization Primary
Managed Care Organizations Taxonomy 302F00000X Licence 40127 (SD)

Registry record

NPI
1780990457
Entity type
Organization
NPI issued
19 Aug 2010
Record last updated
19 Aug 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.