Individual
LISA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
11155 DUNN RD, STE 304E, SAINT LOUIS, MO 63136-6150
(314) 741-0911
(314) 653-3671
Mailing address
11155 DUNN RD, STE 304E, SAINT LOUIS, MO 63136-6150
(314) 741-0911
(314) 653-3671
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
072802
MO
Other
Enumeration date
04/07/2011
Last updated
04/07/2011
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