Clarice A Lebrun, RN
Registered Nurse in Rapid City, SD. Individual provider (NPI-1).
NPI number1104846039
StatusActive
Last updated in NPPESJul 28, 2010
Details
- NPI
- 1104846039
- Entity type
- Individual (NPI-1)
- Name
- Clarice A Lebrun
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 21, 2006
- Last updated
- Jul 28, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | R032872 | SD | Yes |
Practice location
3200 Canyon Lake DrRapid City, SD 57702-8114
Phone 605-355-2333
Mailing address
1317 Herman StRapid City, SD 57701-1052
Phone 605-355-2333
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