Individual
LAURIE CEREMUGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
353 FAIRMONT BLVD, RAPID CITY, SD 57701-7375
(605) 755-7710
(605) 755-7719
Mailing address
353 FAIRMONT BLVD, RAPID CITY, SD 57701-7375
(605) 755-7710
(605) 755-7719
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1249
SD
Other
Enumeration date
08/25/2014
Last updated
08/25/2014
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