Individual
LYNETTE R SIEWERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
550 COLORADO BLVD, SPEARFISH, SD 57783
(605) 642-2030
(605) 642-8338
Mailing address
PO BOX 327, 41 RED BLUFF RD, BEULAH, WY 82712
(605) 722-0430
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0476
SD
Other
Enumeration date
08/17/2006
Last updated
07/08/2007
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