Healthcare Provider Details

I. General information

NPI: 1912317553
Provider Name (Legal Business Name): DULCE LORRAINE FRANK RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/05/2014
Last Update Date: 05/05/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

402 FRANKLIN ST
BURKE SD
57523-2032
US

IV. Provider business mailing address

PO BOX 481
BURKE SD
57523-0481
US

V. Phone/Fax

Practice location:
  • Phone: 605-775-2064
  • Fax:
Mailing address:
  • Phone: 605-775-2064
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License NumberSD-RN R040347
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: