Individual
JACOB LYNGAAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPA, PA-C
Contact information
Practice address
172 4TH ST SE, HURON, SD 57350-2510
(605) 353-6200
Mailing address
PO BOX 510, BRITTON, SD 57430-0510
(605) 470-0559
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0988
SD
Other
Enumeration date
08/04/2015
Last updated
08/04/2015
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