Individual
LILLIAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
329 W WASHINGTON ST, MARQUETTE, MI 49855-4355
(906) 228-4204
Mailing address
329 W WASHINGTON ST, MARQUETTE, MI 49855-4355
(906) 228-4204
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703065419
MI
Other
Enumeration date
09/12/2013
Last updated
09/12/2013
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