MEDICARE: LIANNE FARLEY M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	R1667	KY
2	208000000X	Pediatrics Physician	39031	IA
3	208000000X	Pediatrics Physician	16829	SD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1700049780
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LIANNE FARLEY M.D.

Provider Business Mailing Address
First Line	:	1200 S 7TH AVE
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57105-0900
Country	:	US
Telephone Number	:	605-504-5400
Fax Number	:	605-504-5150

Provider Business Practice Location Address
First Line	:	1600 S HIGHLINE AVE
Second Line	:
City	:	SIOUX FALLS
State	:	SD
Zip	:	57110-1007
Country	:	US
Telephone Number	:	605-504-5600
Fax Number	:	605-322-2926

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/09/2008
Last Update Date	:	12/27/2024

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Directions to “ LIANNE FARLEY M.D.” Practice Location

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