Lewis & Clark Urology, LTD.

Organization Active NPI Specialist · Yankton, SD

NPI 1467749523 · NPPES record last updated Jul 24, 2012

Key facts

NPI
1467749523
Entity type
Organization (NPI type 2)
Primary specialty
Specialist 174400000X
License
7809 (SD)
Legal business name
LEWIS & CLARK UROLOGY, LTD.
Practice address
2525 Fox Run Pkwy
Ste. 204
Yankton, SD 57078-5370
Phone
(605) 260-0182
Fax
(605) 668-0371
NPI assigned
Jul 8, 2011
Organization subpart
No

Authorized official

Name
Dr. Christopher A Hathaway, MD
Title
President
Phone
31933132195

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist
Group: 193400000X SINGLE SPECIALTY GROUP
174400000X 7809 SD Yes

Addresses

Primary practice location

2525 Fox Run Pkwy
Ste. 204
Yankton, SD 57078-5370

Mailing address

2525 Fox Run Pkwy
Ste. 204
Yankton, SD 57078-5370
Phone (605) 260-0182

Other providers in Yankton, SD

All providers in Yankton, SD · Specialist in South Dakota

Sources for this page

Verify at the official NPI Registry.