Individual
LISA B SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
6409 36TH AVE S, TAMPA, FL 33619-6339
(813) 740-4997
(813) 740-4999
Mailing address
13424 SILVERCREEK DR, RIVERVIEW, FL 33569-7146
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AY1350
FL
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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