Individual
DR. LISA MARIE LUNDSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
2709 LAZELLE ST STE B, STURGIS, SD 57785-2999
(605) 720-6288
Mailing address
2709 LAZELLE ST STE B, STURGIS, SD 57785-2999
(605) 720-6288
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
905
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7600553
—
SD
Enumeration date
07/07/2005
Last updated
03/06/2019
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