Individual
LEXIE SEVERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1305 W 18TH ST, SIOUX FALLS, SD 57105-0401
(605) 333-1000
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-9419
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1556
SD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/15/2023
Last updated
10/17/2024
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