Individual
JEANIE LEMBKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
717 SAINT FRANCIS ST, RAPID CITY, SD 57701-4677
(605) 342-2880
(605) 388-4621
Mailing address
PO BOX 6020, RAPID CITY, SD 57709-6020
(605) 342-3280
(605) 721-8438
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4601
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0008010
BCBS
SD
01
—
080169992
RR MEDICARE
SD
05
—
5610762
—
SD
Enumeration date
05/26/2006
Last updated
10/01/2013
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