Individual
IAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1855 W MAIN ST, NEWARK, OH 43055-1135
(614) 388-7117
Mailing address
7338 CROSSETT CT, CANAL WINCHESTER, OH 43110-9078
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.161934.MEDS
OH
Other
Enumeration date
04/25/2022
Last updated
04/25/2022
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