Individual
LISA KREBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
353 FAIRMONT BLVD, RAPID CITY, SD 57701-7375
(605) 755-1000
Mailing address
2711 PIONEER DR, RAPID CITY, SD 57703-6012
(605) 484-9576
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CR001130
SD
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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