Individual
DR. DAVID R. LONBAKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
100 MAC LANE, AVERA MEDICAL GROUP PIERRE, PIERRE, SD 57501
(605) 224-7070
(605) 224-2514
Mailing address
100 MAC LANE, AVERA MEDICAL GROUP PIERRE, PIERRE, SD 57501
(605) 224-7070
(605) 224-2514
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
131
SD
213E00000X
Podiatrist
Primary
SD131
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6800190
—
SD
Enumeration date
02/24/2006
Last updated
04/04/2012
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