Individual
ANGELA ALICE LISBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
801 E SIOUX AVE, PIERRE, SD 57501-3323
(605) 224-3229
(605) 224-3230
Mailing address
801 E SIOUX AVE, PIERRE, SD 57501-3323
(605) 224-3229
(605) 224-3230
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CP000605
SD
Other
Enumeration date
10/13/2009
Last updated
11/02/2010
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