Individual
LAREE STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24276 166TH STREET AIRPORT RD, EAGLE BUTTE, SD 57625
(605) 964-7724
Mailing address
PO BOX 1012, EAGLE BUTTE, SD 57625-1012
(605) 964-7724
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
R053219
SD
Other
Enumeration date
04/01/2021
Last updated
04/01/2021
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