Individual
LORI RANEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
410 W 16TH AVE, TYNDALL, SD 57066-2318
(605) 589-4602
(605) 589-3288
Mailing address
BON HOMME FAMILY PRACTICE, 410 W 16TH AVE, TYNDALL, SD 57066
(605) 589-2190
(605) 589-2115
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0265
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1044
DAKOTACARE
SD
01
—
4996773
BCBS
SD
05
—
6825990
—
SD
Enumeration date
06/15/2006
Last updated
05/21/2019
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