Individual
LORI MICHELLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1050 W 10TH ST, ROLLA, MO 65401-2905
(573) 364-9000
Mailing address
1050 W 10TH ST, ROLLA, MO 65401-2905
(573) 364-9000
(573) 202-2440
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MDR8G59
MO
207Q00000X
Family Medicine Physician
MD60211702
WA
207Q00000X
Family Medicine Physician
Primary
R8G59
MO
Other
Enumeration date
06/14/2006
Last updated
11/15/2019
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