LAZADERM SKIN CARE CENTRE PC

SIOUX FALLS, SD
NPI1003051020
Entity TypeOrganization
Authorized ContactLORNELL E HANSEN
Provider And Owner
605-275-6128
Organization Subpart ?No
Primary Taxonomy207N00000X Dermatology
Enumeration Date2008-12-04
Last Update Date2010-12-29
Business Address
LAZADERM SKIN CARE CENTRE PC
5011 S LOUISE AVE
SIOUX FALLS, SD 57108-2268
Phone number: 605-275-6128
Mailing Address
LAZADERM SKIN CARE CENTRE PC
PO BOX 5126
SIOUX FALLS, SD 57117-5126
Phone number: 605-335-1952
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