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Individual

LISA CAROL AMIOTTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4400 W. 69TH ST, STE. 500, SIOUX FALLS, SD 57108-8171
(605) 322-7580
(605) 322-7579
Mailing address
PO BOX 86370, SIOUX FALLS, SD 57118-6370
(605) 322-7510
(605) 322-6475

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
5512
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7101860
SD
05
7102820
SD
Enumeration date
02/07/2006
Last updated
01/25/2011
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