SUZANNE LEA BAKKEN

SIOUX FALLS, SD
NPI1558309211
Former NameSUZANNE LEA DIXON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: SD  R030642)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: SD  CP000417)
Enumeration Date2006-06-03
Last Update Date2007-10-19
Business Address
-- SUZANNE LEA BAKKEN NP
1201 S EUCLID AVE
SIOUX FALLS, SD 57105-7700
Phone number: 605-328-7090
Mailing Address
-- SUZANNE LEA BAKKEN NP
1201 S EUCLID AVE
SIOUX FALLS, SD 57105-0400
Phone number: 605-328-7090