Individual
LILY ELIZA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5722 CABIN CREEK RD, DAWES, WV 25054-7700
(304) 595-5006
Mailing address
5651 WALDEN DR, LAKE VIEW, NY 14085-9744
(716) 359-5373
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
110721
WV
Other
Enumeration date
09/19/2021
Last updated
09/19/2021
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