Individual
TANYA COOK LETHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
300 S BYRON BLVD, CHAMBERLAIN, SD 57325-9741
(605) 234-6551
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
(605) 312-9802
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1346
SD
Other
Enumeration date
12/08/2010
Last updated
04/26/2022
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