Individual
LISA MARIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
100 S JUNIPER ST FL 3, PHILADELPHIA, PA 19107-1316
(866) 849-0692
Mailing address
PO BOX 211699, EAGAN, MN 55121-3699
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-194280
AL
163W00000X
Registered Nurse
1082938
TX
163W00000X
Registered Nurse
132002
TN
163W00000X
Registered Nurse
1688590
CO
163W00000X
Registered Nurse
282055
AZ
163W00000X
Registered Nurse
371193
NC
163W00000X
Registered Nurse
517441
OH
163W00000X
Registered Nurse
Primary
RN294983L
PA
163W00000X
Registered Nurse
RN9594577
FL
Other
Enumeration date
08/08/2024
Last updated
09/04/2024
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