Individual
LISA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27777 INKSTER RD STE 100, FARMINGTON HILLS, MI 48334-5312
(248) 299-0030
Mailing address
27777 INKSTER RD STE 100, FARMINGTON HILLS, MI 48334-5312
(248) 299-0030
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704232321
MI
Other
Enumeration date
05/19/2022
Last updated
05/19/2022
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