Lyman, Suzanne R

Lyman, Suzanne R is an individual health care provider with primary practice located at 600 N Sioux Point Rd , Dakota Dunes SD 57049-5000. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Lyman, Suzanne R can be contacted via phone (605) 242-7246.

Contact Information

Primary practice address
600 N Sioux Point Rd Dakota Dunes SD 57049-5000
Phone: (605) 242-7246
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R027317 South Dakota

Profile Details

NPI number 1972520682
LBN Legal business name Lyman, Suzanne R
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Feb 27th, 2015 - about 10 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 1972520682 NPPES
South Dakota Other 4993704 WELLMARK
South Dakota Other R027317 WELLMARK
South Dakota MEDICAID 5752872 WELLMARK

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