NPI 1699209775
Georgia Wilson, LPN
Practice location
- Address
- 601 Gall St., Lower Brule, SD 57548
- Phone
- (605) 473-8243
- Fax
- (605) 473-0607
- Mailing address
- P.O. Box 187, Lower Brule, SD 57548
Registered specialties
Licensed Practical Nurse
Primary
Registry record
- NPI
- 1699209775
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 17 Apr 2017
- Record last updated
- 17 Apr 2017
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.