Individual
LORI A KOLLMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, PA-C
Contact information
Practice address
208 S MAIN AVE, HOWARD, SD 57349-0099
(605) 772-4574
Mailing address
PO BOX 99, 208 S MAIN AVE, HOWARD, SD 57349-0099
(605) 772-4574
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0347
SD
Other
Enumeration date
07/29/2005
Last updated
11/10/2011
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