Provider Demographics
NPI:1346293610
Name:LEMME, VIRGINIA F (PAC)
Entity Type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:F
Last Name:LEMME
Suffix:
Gender:F
Credentials:PAC
Other - Prefix:
Other - First Name:VIRGINIA
Other - Middle Name:F
Other - Last Name:STENBERG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PAC
Mailing Address - Street 1:1200 S 7TH AVE
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57105-0900
Mailing Address - Country:US
Mailing Address - Phone:605-336-2140
Mailing Address - Fax:605-336-1677
Practice Address - Street 1:6215 S CLIFF AVE
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108-8596
Practice Address - Country:US
Practice Address - Phone:605-322-3300
Practice Address - Fax:605-322-3301
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2022-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD0312207R00000X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SDS41908Medicare PIN
S98267Medicare UPIN