Individual
SUZANNE R LYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
600 N SIOUX POINT RD, DAKOTA DUNES, SD 57049-5000
(605) 242-7246
Mailing address
684 LAQUINTA COURT, DAKOTA DUNES, SD 57049-4106
(605) 759-4858
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R027317
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4993704
WELLMARK
SD
05
—
5752872
—
SD
01
—
R027317
LICENSE
SD
Enumeration date
07/17/2006
Last updated
02/27/2015
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