Individual
JEAN MARIE LAGESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6100 S LOUISE AVE STE 1120, SIOUX FALLS, SD 57108-6021
(605) 504-1700
Mailing address
PO BOX 86370, SIOUX FALLS, SD 57118-6370
(605) 322-7510
(605) 322-6475
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
27899
MN
207R00000X
Internal Medicine Physician
Primary
8445
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6007310
—
SD
05
—
846883400
—
MN
01
—
P01089468
RR MEDICARE
SD
Enumeration date
05/18/2006
Last updated
10/31/2019
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