Individual
LISA M. DREISKE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
601 MAIN AVE, LEMMON, SD 57638-1834
(605) 374-5844
(605) 374-9524
Mailing address
601 MAIN AVE, LEMMON, SD 57638-1834
(605) 374-5844
(605) 374-9524
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0543
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4996665
WELLMARK BCBS
SD
01
—
52624
ND MEDICAID
ND
05
—
5833250
—
SD
01
—
9192188
DAKOTACARE
SD
Enumeration date
02/09/2006
Last updated
07/08/2007
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