Individual
DR. COLIN LUCAS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
113 SANDA AVE, WILLIAMSBURG, VA 23185-5830
(757) 887-7639
Mailing address
113 SANDA AVE, WILLIAMSBURG, VA 23185-5830
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
207Q00000X
Family Medicine Physician
Primary
0102210239
VA
207Q00000X
Family Medicine Physician
OS21342
FL
208D00000X
General Practice Physician
Primary
OS21342
FL
Other
Enumeration date
05/11/2023
Last updated
07/29/2026
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