Individual
MRS. LEEZA CAROLINE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1648 W HARPER ST STE 2, POPLAR BLUFF, MO 63901-4110
(573) 609-2203
Mailing address
14458 SPYGLASS PT, DEXTER, MO 63841-8334
(573) 300-6608
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2023050148
MO
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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