Backen, Lanna M

Backen, Lanna M is an individual health care provider with primary practice located at 1520 Haines Ave Ste 6 , Rapid City SD 57701-0710. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Backen, Lanna M can be contacted via phone (605) 716-7841.

Contact Information

Primary practice address
1520 Haines Ave Ste 6 Rapid City SD 57701-0710
Phone: (605) 716-7841
Fax: (605) 718-0404
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X South Dakota

Profile Details

NPI number 1073131736
LBN Legal business name Backen, Lanna M
Credentials BS ACT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2020
Last updated Jul 23rd, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073131736 NPPES
South Dakota MEDICAID 19693810245

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