Individual
VICTORIA RAE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2415 MASSACHUSETTS ST, LAWRENCE, KS 66046-4827
(785) 843-3750
(785) 832-4887
Mailing address
2415 MASSACHUSETTS ST, LAWRENCE, KS 66046-4827
(785) 843-3750
(785) 832-4887
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
23-17860-112
KS
Other
Enumeration date
12/23/2008
Last updated
12/23/2008
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