Individual
LIE DINAH SANDY LIGASAPUTRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
911 E 20TH ST STE 400, SIOUX FALLS, SD 57105-1046
(605) 322-5780
Mailing address
911 E 20TH ST STE 400, SIOUX FALLS, SD 57105-1046
(605) 322-5780
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
295572
NY
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
12003
SD
Other
Enumeration date
07/06/2015
Last updated
08/03/2020
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