Individual
LAURIE EIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 S BAHNSON AVE, SIOUX FALLS, SD 57103-4462
(605) 367-7695
Mailing address
201 E 38TH ST, SIOUX FALLS, SD 57105-5815
(605) 367-7695
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
216
SD
Other
Enumeration date
07/13/2016
Last updated
07/13/2016
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