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GRACE A LAFOLLETTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
4400 W 69TH ST, STE. 1500, SIOUX FALLS, SD 57108-8170
(605) 322-5700
(605) 322-5704
Mailing address
2400 S. MINNESOTA AVE, SIOUX FALLS, SD 57105-3762
(605) 322-7510
(605) 322-6475

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
CP000282
SD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
CP000282
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0040478
BLUE CROSS
SD
05
12200
ND
01
140M7BO
CC SYSTEMS/ BLUE PLUS
MN
01
142419
UCARE
MN
01
15766
MIDLANDS CHOICE
SD
01
1663494
ARAZ/ AMERICA'S PPO
SD
05
1958108
IA
01
22591
BLUE CROSS
IA
01
25216
SANFORD HEALTH PLAN
SD
01
412991028069
PREFERRED ONE
SD
05
46022474352
NE
05
500002297
MN
01
500026048
RR MEDICARE
SD
01
57108C022
TRICARE
SD
05
6826732
SD
05
690718100
MN
01
9233298
DAKOTACARE
SD
01
HP37123
HEALTHPARTNERS
SD
Enumeration date
02/07/2006
Last updated
12/11/2013
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