Individual
CHAD LAVERNE LAUSENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
8 5TH ST SE, WATERTOWN, SD 57201
(605) 753-5400
(605) 753-6208
Mailing address
500 CROSS ST, BIG STONE CITY, SD 57216-8237
(605) 541-1140
(605) 541-0109
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1178
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5833562
—
SD
Enumeration date
07/06/2005
Last updated
03/04/2022
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