Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEANINE RAE DODSON, M.T.
Active Sole ProprietorJEANINE RAE DODSON, M.T. is a Clinical Medical Laboratory healthcare provider located in BROOKINGS, South Dakota. NPI 1790906451 is currently active in the NPPES registry. Verify at CMS.
Clinical Medical Laboratory · BROOKINGS, SD
Registration Details
- NPI Number
- 1790906451
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 1, 2007 (19.24222654999 yrs)
- Last Updated
- Jul 8, 2007
- License
-
4143109 (SD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
927 5TH ST, SO. #5BROOKINGS, SD, 570063349Browse SD providers · Browse ZIP 57006
- Phone
- 6054902530
- Primary Specialty
-
Clinical Medical Laboratory
291U00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.