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Organization

LEWIS & CLARK UROLOGY, LTD.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHRISTOPHER A HATHAWAY MD (PRESIDENT)
31933132195
Entity
Organization

Contact information

Practice address
2525 FOX RUN PKWY, STE. 204, YANKTON, SD 57078-5370
(605) 260-0182
(605) 668-0371
Mailing address
2525 FOX RUN PKWY, STE. 204, YANKTON, SD 57078-5370
(605) 260-0182
(605) 668-0371

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
7809
SD

Other

Enumeration date
07/08/2011
Last updated
07/24/2012
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