| Lara Reinecke | |
|
2509 Windmill Dr Apt 507 Spearfish SD 57783-9589 | |
| (208) 484-9792 | |
| (307) 643-2139 |
| Full Name | Lara Reinecke |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2509 Windmill Dr Apt 507, Spearfish, South Dakota |
| Authorized Official Name and Position | Lara E. Reinecke (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 2084849792 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lara Reinecke 2509 Windmill Dr Apt 507 Spearfish SD 57783-9589 Ph: (208) 484-9792 | Lara Reinecke 2509 Windmill Dr Apt 507 Spearfish SD 57783-9589 Ph: (208) 484-9792 |
| NPI Number | 1962640714 |
|---|---|
| Provider Enumeration Date | 02/02/2009 |
| Last Update Date | 02/02/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962640714 | NPI | - | NPPES |
| S102766 | Other | SD | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 2354 (South Dakota) | Primary |
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