Individual
LISA M RAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
212 E 11TH ST, SIOUX FALLS, SD 57104-6479
(605) 322-7778
Mailing address
46923 250TH ST, BALTIC, SD 57003-5203
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4607
SD
Other
Enumeration date
02/22/2007
Last updated
02/11/2012
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