Lenssen, Stacie A.

Lenssen, Stacie A. is an individual health care provider with primary practice located at 506 1St Ave Se , Watertown SD 57201-4402. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Lenssen, Stacie A. can be contacted via phone (605) 886-8482.

Contact Information

Primary practice address
506 1St Ave Se Watertown SD 57201-4402
Phone: (605) 886-8482
Fax: (605) 884-4300
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5224 South Dakota

Profile Details

NPI number 1215994769
LBN Legal business name Lenssen, Stacie A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated May 17th, 2022 - about 3 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 1215994769 NPPES
South Dakota MEDICAID 5611460

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