# SANFORD CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SANFORD
- **Other names:** Sanford Health Lake Lorraine Eye Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1164069506
- **Legal business name:** SANFORD
- **Authorized official:** TONY LEE MORRISON (VICE PRESIDENT, REVENUE CYCLE)
- **Authorized official phone:** (605) 328-8380

## Contact information

- **Practice address:** 2310 S MARION RD STE 140, SIOUX FALLS, SD 57106-1144
- **Practice address phone:** (605) 328-6690
- **Practice address fax:** (605) 312-9883
- **Mailing address:** PO BOX 5074, SIOUX FALLS, SD 57117-5074
- **Mailing address phone:** (605) 328-6585

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/04/2019
- **Last updated:** 06/29/2020