Individual
MS. LIA EASTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6110 S MINNESOTA AVE, SIOUX FALLS, SD 57108-2571
(605) 332-2883
(605) 328-5831
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0783
SD
Other
Enumeration date
06/14/2011
Last updated
03/30/2022
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