Individual
TARA LIDDIARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
455 N SIOUX POINT RD, DAKOTA DUNES, SD 57049-5327
(605) 217-7000
(605) 217-7015
Mailing address
455 N SIOUX POINT RD, DAKOTA DUNES, SD 57049-5327
(605) 217-7000
(605) 217-7015
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN044871
SD
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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