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Contact Information

AVERA ST. LUKE'S
105 S STATE ST STE 201
ABERDEEN, SD57401-4502
 Phone: 605-622-5458
 Fax: 605-622-5473
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Hospitalist

208M00000X
 

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for AVERA ST LUKES · (Female)

NPI # 1215100813
Status Active
Credentials
Entity Individual
Enumeration date 04/04/2008
Last updated 04/21/2026 - About 1 months ago
Sole proprietor 1 Not specified
Identifiers
  • SD License # 10525
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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