Individual
LONNY DEAN HEINEMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4500 W 69TH ST, SIOUX FALLS, SD 57108-8148
(605) 977-7000
Mailing address
3704 W 86TH ST, SIOUX FALLS, SD 57108-6208
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
CP001393
SD
Other
Enumeration date
07/17/2018
Last updated
07/17/2018
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