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Individual
LURETHA SMITH
Active
Individual
LURETHA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NNP
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
R748241
MS
363LN0000X
Neonatal Nurse Practitioner
Primary
R748241
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00125052
—
MS
05
—
0125052
—
MS
Enumeration date
04/25/2008
Last updated
04/17/2015
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