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1467749523 NPI number — LEWIS & CLARK UROLOGY, LTD.

NPI Number: 1467749523
Health Care Provider/Practitioner: LEWIS & CLARK UROLOGY, LTD.

Information about “1467749523” NPI (LEWIS & CLARK UROLOGY, LTD.) exists in 1467749523 in HTML format HTML  |  1467749523 in plain Text format TXT  |  1467749523 in PDF (Portable Document Format) PDF  |  1467749523 in an XML format XML  formats.

NPI Number : 1467749523 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1467749523",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "LEWIS & CLARK UROLOGY, LTD.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2525 FOX RUN PKWY",
    "SecondLineMailingAddress": "STE. 204",
    "MailingAddressCityName": "YANKTON",
    "MailingAddressStateName": "SD",
    "MailingAddressPostalCode": "57078-5370",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "605-260-0182",
    "MailingAddressFaxNumber": "605-668-0371",
    "FirstLinePracticeLocationAddress": "2525 FOX RUN PKWY",
    "SecondLinePracticeLocationAddress": "STE. 204",
    "PracticeLocationAddressCityName": "YANKTON",
    "PracticeLocationAddressStateName": "SD",
    "PracticeLocationAddressPostalCode": "57078-5370",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "605-260-0182",
    "PracticeLocationAddressFaxNumber": "605-668-0371",
    "EnumerationDate": "07/08/2011",
    "LastUpdateDate": "07/24/2012",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "HATHAWAY",
    "AuthorizedOfficialFirstName": "CHRISTOPHER",
    "AuthorizedOfficialMiddleName": "A",
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "31933132195",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "174400000X",
        "TaxonomyName": "Specialist",
        "LicenseNumber": "7809",
        "LicenseNumberStateCode": "SD",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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