Individual
LYDIA SMITHHISLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
686 LAKE ST STE 100&150, PORT TOWNSEND, WA 98368-2282
(360) 385-0321
Mailing address
PO BOX 565, PORT TOWNSEND, WA 98368-0565
(360) 385-0321
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/18/2024
Last updated
12/18/2024
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