LISA ANN PENTECOST

RAPID CITY, SD
NPI1447373329
Former NameLISA ANN SEA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LN0000X Nurse Practitioner, Neonatal
(Licence: SD  0137)
Enumeration Date2007-04-07
Last Update Date2008-02-16
Business Address
-- LISA ANN PENTECOST CNP
353 FAIRMONT BLVD
RAPID CITY, SD 57701-7375
Phone number: 605-719-8382
Mailing Address
-- LISA ANN PENTECOST CNP
PO BOX 3450
RAPID CITY, SD 57709-3450
Phone number: 605-719-8382
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