# AVERA ST LUKES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ABERDEEN PULMONOLOGY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932203015
- **Authorized official:** RON JACOBSON (PRESIDENT)
- **Authorized official phone:** (605) 622-5125

## Contact information

- **Practice address:** 201 S LLOYD ST STE W240, ABERDEEN, SD 57401-4530
- **Practice address phone:** (605) 622-2530
- **Practice address fax:** (605) 622-2531
- **Mailing address:** 201 S LLOYD ST STE W240, ABERDEEN, SD 57401-4530
- **Mailing address phone:** (605) 622-2530
- **Mailing address fax:** (605) 622-2531

## Taxonomy

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

## Other

- **Enumeration date:** 09/11/2006
- **Last updated:** 08/22/2020