Individual
DR. LISA NICOLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
801 W CENTRAL ENTRANCE, DULUTH, MN 55811-5468
(218) 727-7139
Mailing address
801 W CENTRAL ENTRANCE, DULUTH, MN 55811-5468
(218) 727-7139
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
120570
MN
183500000X
Pharmacist
16613-40
WI
Other
Enumeration date
03/30/2014
Last updated
03/30/2014
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