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: |