# AVERA ST. LUKE'S

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Avera Medical Group Pulmonology Aberdeen
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912265489
- **Authorized official:** DEBBIE STREIER (VICE PRESIDENT)
- **Authorized official phone:** (605) 622-2807

## Contact information

- **Practice address:** 310 S PENN ST, STE 203, ABERDEEN, SD 57401
- **Practice address phone:** (605) 622-2685
- **Practice address fax:** (605) 622-2686
- **Mailing address:** PO BOX 1460, ABERDEEN, SD 57402-1460
- **Mailing address phone:** (605) 622-2857
- **Mailing address fax:** (605) 622-2859

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RP1001X | Pulmonary Disease Physician | — | NULL | Yes |
| 207RP1001X | Pulmonary Disease Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/02/2012
- **Last updated:** 08/16/2018