Most Relevant Information
Provider Data
  | NPI Number: | 1003592114 | 
| Provider Name: | LORRAINE DOROTHY GUKEISEN RN | 
| Entity Type: | Individual | 
| Taxonomy Code: | 163WM0705X | 
| Specialty: | Registered Nurse | 
| License Number: | R057780 | 
Most Important Dates
  | Enumeration Date: | 06/23/2023 | 
| Last Updated: | 06/23/2023 | 
Provider Practice Location
  61 CHARLES ST
      
      DEADWOOD
      SD
      577321303
  Practice Location Phone/Fax
      | Phone: | 6057176000 | 
| Fax: | 
Provider Mailing Location
  21215 LAST CHANCE TRL
      
      LEAD
      SD
      577543717
  Provider Mailing Phone/Fax
      | Phone: | 7193373464 | 
| Fax: |