IVA BOLMAN, LPN

Licensed Practical Nurse

Active Individual
NPI: 1336328574

Practice Address

601 GALL ST.
Lower Brule, SD 57548

Phone: (605) 473-0852

Specialties

Specialty Code Primary License
Licensed Practical Nurse 164W00000X Yes 003859 (SD)

Frequently Asked Questions

NPI 1336328574 is the National Provider Identifier for IVA BOLMAN, LPN, a Licensed Practical Nurse provider located in Lower Brule, SD. This NPI was enumerated on October 24, 2007.
IVA BOLMAN, LPN practices at 601 GALL ST., Lower Brule, SD 57548.

Quick Facts

NPI
1336328574
Type
Individual
Enumerated
Oct 24, 2007
Last Updated
Oct 24, 2007

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