SearchSouth Dakota164W00000X

Lenn Island

NPI 1306702295 · on the registry since 2026 · sole proprietor

Practice

Address
2112 W 13th St
Sioux Falls, SD 57104
Phone
(605) 360-0964

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
SD
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-01-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Dakota