Individual
MRS. LISA C. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.N.P.
Contact information
Practice address
4811 BUCKLEY RD, LIVERPOOL, NY 13088-3629
(315) 457-9966
(315) 457-9854
Mailing address
4811 BUCKLEY RD, LIVERPOOL, NY 13088-3629
(315) 457-9966
(315) 457-9854
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F380648
NY
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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