Healthcare Provider Details

I. General information

NPI: 1699658278
Provider Name (Legal Business Name): LINDSAY MARIE MACKLEM RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2025
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

380 W ANCHOR DR
DAKOTA DUNES SD
57049-5273
US

IV. Provider business mailing address

380 W ANCHOR DR
DAKOTA DUNES SD
57049-5273
US

V. Phone/Fax

Practice location:
  • Phone: 605-232-2823
  • Fax: 612-725-1097
Mailing address:
  • Phone: 605-232-2823
  • Fax: 612-725-1097

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License NumberR039988
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: