Individual
JAISHREE PALANISAMY LEREW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1310 W 22ND ST, SIOUX FALLS, SD 57105-1501
(605) 328-8200
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-9419
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
15452
SD
207Y00000X
Otolaryngology Physician
5101024069
MI
Other
Enumeration date
06/15/2018
Last updated
10/24/2024
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