Individual
DR. LISA A SMITH
Active
Individual
DR. LISA A SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD34792
TN
2086S0120X
Pediatric Surgery Physician
Primary
MD34792
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00893516A
—
GA
05
—
009947640
—
AL
01
—
1246480 002
CIGNA
—
01
—
1700058
UHC
—
05
—
2536518
—
OH
01
—
370017967
RR MEDICARE
—
01
—
4001261
BCBS OF TN
—
01
—
62165877467
JDH
—
05
—
7613562
—
NC
05
—
Q000856
—
TN
Enumeration date
09/09/2005
Last updated
02/18/2019
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