Individual
LORI ANN DONNER-SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7653 ELKHART RD, RAPID CITY, SD 57702-4743
(605) 786-5514
Mailing address
7653 ELKHART RD, RAPID CITY, SD 57702-4743
(605) 786-5514
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
1029-4821-ST
SD
Other
Enumeration date
09/25/2015
Last updated
09/25/2015
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