Individual
SARA MAI SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5165 MCCARTY LN, LAFAYETTE, IN 47905-8764
(765) 448-8000
Mailing address
11661 STATE ROAD 17, PLYMOUTH, IN 46563-9440
(574) 540-9210
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10004363A
IN
363A00000X
Physician Assistant
—
—
Other
Enumeration date
02/19/2024
Last updated
04/29/2024
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