Individual
MS. LONA MARIE LONGBRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
HWY 34 & 37, FORT THOMPSON, SD 57339-0200
(605) 245-1500
(605) 245-2384
Mailing address
HWY 34 & 47, FORT THOMPSON INDIAN HEALTH SERVICE, FORT THOMPSON, SD 57339-0200
(605) 245-1500
(605) 245-2384
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R033717
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5549010
—
SD
Enumeration date
11/17/2010
Last updated
11/17/2010
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