Desiree Nolene Laroche, LPN
Individual provider Active NPI Licensed Practical Nurse · Lower Brule, SD
NPI 1104119700 · NPPES record last updated May 16, 2011
Key facts
- NPI
- 1104119700
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- P010469 (SD)
- Practice address
- 601 Gall St.
Lower Brule, SD 57548 - Phone
- (605) 473-5526
- Fax
- (605) 473-5677
- NPI assigned
- May 16, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0057916 | OK | MD | Licensed Practical Nurse |
| P010469 | SD | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lower Brule Health Center IHS | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | P010469 | SD | Yes |
| Licensed Practical Nurse | 164W00000X | 0057916 | OK |
Addresses
Primary practice location
601 Gall St.
Lower Brule, SD 57548
Mailing address
PO Box 248
Lower Brule, SD 57548-0248
Phone (605) 473-5526
Other providers in Lower Brule, SD
- Roberta Jo Ducheneaux-Sinclair
- Ellen Durkin
- Helen H. Grant
- Steve Gray
- Indian Health Services
- Lower Brule Ambulance
- Lower Brule Health Center
- Lower Brule Health Center IHS
- Lower Brule IHS Clinic Pharmacy
- Lower Brule Mental Health
All providers in Lower Brule, SD · Licensed Practical Nurse in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.