Individual
SHELBY LYNN LAKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2720 STONE PARK BLVD, SIOUX CITY, IA 51104-3734
(712) 279-3141
Mailing address
672 BLUESTEM TRL, NORTH SIOUX CITY, SD 57049-5451
(712) 898-4855
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A128250
IA
Other
Enumeration date
08/16/2017
Last updated
08/16/2017
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