Individual
LACY LIGGETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
18551 VIKEN RD, NEWELL, SD 57760-5832
(605) 210-0401
Mailing address
18551 VIKEN RD, NEWELL, SD 57760-5832
(605) 210-0401
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
A036746
SD
Other
Enumeration date
01/09/2015
Last updated
01/09/2015
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