Organization
LEWIS AND CLARK ANESTHESIA, PROF. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY F CAMPBELL (OFFICE MANAGER)
(605) 664-5050
Entity
Organization
Contact information
Practice address
2601 FOX RUN PKWY, YANKTON, SD 57078-5341
(605) 665-5100
(605) 665-5200
Mailing address
307 WALNUT ST, SUITE C, YANKTON, SD 57078-4361
(605) 664-5050
(605) 664-5051
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0040262
WELLMARK BCBS
SD
01
—
9202984
DAKOTACARE
SD
01
—
DA2864
RAILROAD
SD
Enumeration date
07/16/2006
Last updated
05/19/2008
Update your record
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