LONNY DEAN HEINEMANN

SIOUX FALLS, SD
NPI1801372479
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LA2100X Nurse Practitioner Acute Care
(Licence: SD  CP001393)
Enumeration Date2018-07-17
Last Update Date2018-07-17
Business Address
LONNY DEAN HEINEMANN
4500 W 69TH ST
SIOUX FALLS, SD 57108-8148
Phone number: 605-977-7000
Mailing Address
LONNY DEAN HEINEMANN
3704 W 86TH ST
SIOUX FALLS, SD 57108-6208
Phone number: