Individual
LAURA LORAINE ROGNESS PESCHONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 W 22ND ST, SIOUX FALLS, SD 57105-1521
(605) 312-1000
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
F06212901
SD
363LP0200X
Pediatric Nurse Practitioner
Primary
CP002144
SD
Other
Enumeration date
08/11/2021
Last updated
06/15/2022
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