Provider Demographics
NPI:1285600965
Name:DUNCAN, LISA J (CNP)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:J
Last Name:DUNCAN
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 86370
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57118-6370
Mailing Address - Country:US
Mailing Address - Phone:605-322-7510
Mailing Address - Fax:605-322-6475
Practice Address - Street 1:1001 E. 21ST ST., STE. 300
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105
Practice Address - Country:US
Practice Address - Phone:605-322-5800
Practice Address - Fax:605-322-5801
Is Sole Proprietor?:No
Enumeration Date:2006-02-23
Last Update Date:2009-02-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SD0205363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN290T7DUOtherBLUE CROSS
SD500023424OtherRR MEDICARE
SD6825692Medicaid
SD848660OtherARAZ/ AMERICA'S PPO
SD0108608OtherMEDICA
NE46022474344Medicaid
MN290T7DUOtherCC SYSTEMS/ BLUE CROSS
SD406751028077OtherPREFERRED ONE
SD0040023OtherBLUE CROSS
SD9237763OtherDAKOTACARE
IA1911214Medicaid
MN223858600Medicaid
SD28948OtherSANFORD HEALTH PLAN
SD57105P003OtherWPS TRICARE
SDHP35360OtherHEALTHPARTNERS
SD10682OtherMIDLANDS CHOICE
IA35147 & 35148OtherBLUE CROSS
SD6825692Medicaid
MN500002057Medicare PIN
SD28948OtherSANFORD HEALTH PLAN
IAI6562001Medicare PIN