| Lisa R Moon, RN | |
|
3200 Canyon Lake Dr, Rapid City, SD 57702-8114 | |
| (605) 355-2308 | |
| Not Available |
| Full Name | Lisa R Moon |
|---|---|
| Gender | Female |
| Speciality | Registered Nurse |
| Location | 3200 Canyon Lake Dr, Rapid City, South Dakota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164728267 | NPI | - | NPPES |
| 5549050 | Medicaid | SD | |
| 0140070 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | R030502 (South Dakota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa R Moon, RN 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 Ph: (605) 355-2308 | Lisa R Moon, RN 3200 Canyon Lake Dr, Rapid City, SD 57702-8114 Ph: (605) 355-2308 |
Ms. Donna Marie Huber, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3200 Canyon Lake Dr, Rapid City, SD 57702 Phone: 605-355-2298 Fax: 605-355-2553 | |
Linda Marie Richards, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3200 Canyon Lake Drive, Indian Health Service, Rapid City, SD 57702 Phone: 605-355-2500 Fax: 605-355-2515 | |
Jodi Lynn Moore, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 410 E Monroe St, Rapid City, SD 57701 Phone: 605-341-6448 Fax: 605-341-2941 | |
Julia Marie Bitz, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 308 Quincy St, Rapid City, SD 57701 Phone: 605-391-4863 Fax: 605-342-3692 | |
Barb Volker, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4605 Wentworth Dr, Rapid City, SD 57702 Phone: 605-484-8611 | |
Frances Marie Gray, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3200 Canyon Lake Dr, Rapid City, SD 57702 Phone: 605-355-2500 | |
Jacob Daniel Schuh, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3200 Canyon Lake Dr, Rapid City, SD 57702 Phone: 605-355-2500 |