Individual
LYNDSIE DERAGISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4405 E 26TH ST, SIOUX FALLS, SD 57103
(605) 332-2883
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0000
SD
363LF0000X
Family Nurse Practitioner
Primary
CP000974
SD
Other
Enumeration date
08/03/2015
Last updated
04/22/2022
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