Individual
LISA MARIE BROWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24276 166TH STREET, AIRPORT RD., EAGLE BUTTE, SD 57625
(605) 964-7724
Mailing address
PO BOX 1323, EAGLE BUTTE, SD 57625-1323
(612) 716-3800
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
R051490
SD
Other
Enumeration date
04/01/2019
Last updated
04/01/2019
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