Individual
LISA ALMA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2168 FIELD HOUSE DR, USAF ACADEMY, CO 80840-9599
(719) 333-0221
Mailing address
6740 FREDRICK DR, COLORADO SPRINGS, CO 80918-1345
(719) 310-2698
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.0002129
CO
Other
Enumeration date
07/28/2020
Last updated
07/28/2020
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