Individual
LARA NIX SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN
Contact information
Practice address
430 WILLOW ST, MONTICELLO, FL 32344-1037
(229) 200-4143
Mailing address
430 WILLOW ST, MONTICELLO, FL 32344-1037
(229) 200-4143
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9388307
FL
Other
Enumeration date
12/24/2020
Last updated
12/24/2020
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