Basic Information
| Provider Information | |||||||||
| NPI: | 1285600965 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DUNCAN | ||||||||
| FirstName: | LISA | ||||||||
| MiddleName: | J | ||||||||
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| Credential: | CNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 86370 | ||||||||
| Address2: | |||||||||
| City: | SIOUX FALLS | ||||||||
| State: | SD | ||||||||
| PostalCode: | 571186370 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6053227510 | ||||||||
| FaxNumber: | 6053226475 | ||||||||
| Practice Location | |||||||||
| Address1: | 1001 E. 21ST ST., STE. 300 | ||||||||
| Address2: | |||||||||
| City: | SIOUX FALLS | ||||||||
| State: | SD | ||||||||
| PostalCode: | 57105 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6053225800 | ||||||||
| FaxNumber: | 6053225801 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/23/2006 | ||||||||
| LastUpdateDate: | 02/09/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363L00000X | 0205 | SD | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
ID Information
| ID | Type | State | Issuer | Description | 290T7DU | 01 | MN | BLUE CROSS | OTHER | 500023424 | 01 | SD | RR MEDICARE | OTHER | 6825692 | 05 | SD | MEDICAID | 848660 | 01 | SD | ARAZ/ AMERICA'S PPO | OTHER | 0108608 | 01 | SD | MEDICA | OTHER | 46022474344 | 05 | NE | MEDICAID | 290T7DU | 01 | MN | CC SYSTEMS/ BLUE CROSS | OTHER | 406751028077 | 01 | SD | PREFERRED ONE | OTHER | 0040023 | 01 | SD | BLUE CROSS | OTHER | 9237763 | 01 | SD | DAKOTACARE | OTHER | 1911214 | 05 | IA | MEDICAID | 223858600 | 05 | MN | MEDICAID | 28948 | 01 | SD | SANFORD HEALTH PLAN | OTHER | 57105P003 | 01 | SD | WPS TRICARE | OTHER | HP35360 | 01 | SD | HEALTHPARTNERS | OTHER | 10682 | 01 | SD | MIDLANDS CHOICE | OTHER | 35147 & 35148 | 01 | IA | BLUE CROSS | OTHER |