Individual
MRS. LOIS KACHWER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(704) 512-5363
(704) 512-2428
Mailing address
PO BOX 602148, CHARLOTTE, NC 28260-2148
(704) 512-5363
(704) 512-2428
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
132225
NC
363L00000X
Nurse Practitioner
900050
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154418432
—
NC
05
—
7000233
—
NC
05
—
NP1613
—
SC
Enumeration date
10/06/2006
Last updated
05/06/2014
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