Individual
JOSEPH LONCAREVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
401 6TH AVE W, LEMMON, SD 57638-1318
(605) 374-3773
(605) 374-3425
Mailing address
1000 HIGHWAY 12, HETTINGER, ND 58639-7530
(701) 567-4561
(701) 567-6361
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0093
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19919
BLUE CROSS OF NORTH DAKOT
ND
Enumeration date
09/25/2006
Last updated
07/08/2007
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