Individual
DAWN LALICIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10 NORTH RIVER ROAD, FORT YATES, ND 58538
(701) 854-3831
(701) 854-7553
Mailing address
10 NORTH RIVER ROAD, FORT YATES, ND 58538-0527
(701) 854-3831
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
R51904
ND
164W00000X
Licensed Practical Nurse
Primary
L16232
ND
Other
Enumeration date
01/27/2020
Last updated
08/02/2022
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