Lisa Marie Lundstrom, D.C.
Individual provider Active NPI Chiropractor · Sturgis, SD
NPI 1962409771 · NPPES record last updated Mar 6, 2019
Key facts
- NPI
- 1962409771
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 905 (SD)
- Practice address
- 2709 Lazelle St Ste B
Sturgis, SD 57785-2999 - Phone
- (605) 720-6288
- NPI assigned
- Jul 7, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lisa Lundstrom Chiropractic PC | Chiropractor | Current |
Accepting new patients |
| Lundstrom Chiropractic, P.C. | Chiropractor | Current |
Accepting new patients |
Locations
902 Columbus St
Rapid City, SD 57701
Phone (605) 348-2273
2709 Lazelle St
Ste B
Sturgis, SD 57785
Phone (605) 720-6288
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 905 | SD | Yes |
Addresses
Primary practice location
2709 Lazelle St Ste B
Sturgis, SD 57785-2999
Mailing address
2709 Lazelle St Ste B
Sturgis, SD 57785-2999
Phone (605) 720-6288
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7600553 | Medicaid | SD |
Other providers in Sturgis, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 6, 2019. 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.