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Individual

LISA MARIE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
600 ABBOTT DR, BROOMALL, PA 19008-4317
(888) 227-3898
Mailing address
3803 W CHESTER PIKE STE 160, NEWTOWN SQUARE, PA 19073-2336
(484) 337-1530

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP025105
PA

Other

Enumeration date
12/14/2022
Last updated
02/17/2023
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