Individual
LAWANDA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
12021 WILMINGTON AVE BLDG 10, LOS ANGELES, CA 90059-3019
(562) 295-5916
(562) 295-5958
Mailing address
12021 WILMINGTON AVE BLDG 10, LOS ANGELES, CA 90059-3019
(562) 295-5916
(562) 295-5958
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
561569
CA
363L00000X
Nurse Practitioner
NP14670
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
14670
CA
363LW0102X
Women's Health Nurse Practitioner
14670
CA
Other
Enumeration date
07/10/2007
Last updated
05/04/2022
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