Individual
LISA M MATTHIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2501 W 22ND ST, SIOUX FALLS, SD 57105-1305
(605) 336-3230
(612) 725-1289
Mailing address
2501 W 22ND ST, SIOUX FALLS, SD 57105-1305
(605) 336-3230
(612) 725-1289
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P009664
SD
164W00000X
Licensed Practical Nurse
SD-LPNP009664
SD
Other
Enumeration date
05/15/2025
Last updated
05/15/2025
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