Individual
CASSANDRA LUNDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1301 W 18TH ST, SIOUX FALLS, SD 57105-0401
(605) 312-2200
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1498
SD
363AM0700X
Medical Physician Assistant
2385
NE
Other
Enumeration date
07/23/2019
Last updated
01/04/2024
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