Individual
TEAGEN LYN HARTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1303 N LACROSSE ST, RAPID CITY, SD 57701-6956
(605) 755-6600
Mailing address
1303 N LACROSSE ST, RAPID CITY, SD 57701-6956
(605) 755-6600
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1630
SD
Other
Enumeration date
08/21/2025
Last updated
08/21/2025
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