Healthcare Provider Details

I. General information

NPI: 1134336340
Provider Name (Legal Business Name): CHRISTINA ELIZABETH LANKHORST MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2007
Last Update Date: 01/21/2025
Certification Date: 01/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1420 W 22ND ST STE 201
SIOUX FALLS SD
57105-1507
US

IV. Provider business mailing address

PO BOX 5074
SIOUX FALLS SD
57117-5074
US

V. Phone/Fax

Practice location:
  • Phone: 605-328-8100
  • Fax:
Mailing address:
  • Phone: 605-328-8100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number39221
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number57012681
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code207RH0005X
TaxonomyHypertension Specialist Physician
License Number7770
License Number StateSD
# 4
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number53610
License Number StateMN
# 5
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number7770
License Number StateSD
# 6
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number35090158
License Number StateOH

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier000000225070
Identifier TypeOTHER
Identifier StateOH
Identifier IssuerUNISON
# 2
Identifier000000537786
Identifier TypeOTHER
Identifier StateOH
Identifier IssuerANTHEM
# 3
Identifier2765011
Identifier TypeMEDICAID
Identifier StateOH
Identifier Issuer
# 4
Identifier414997
Identifier TypeOTHER
Identifier StateOH
Identifier IssuerWELLCARE
# 5
Identifier9608074
Identifier TypeOTHER
Identifier StateOH
Identifier IssuerAETNA
# 6
IdentifierP00406097
Identifier TypeOTHER
Identifier StateOH
Identifier IssuerMEDICARE RAILROAD
# 7
Identifier751169
Identifier TypeOTHER
Identifier StateOH
Identifier IssuerBUCKEYE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: