Individual
LOWELL F SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1813 W HARVARD AVENUE, SUITE 201, ROSEBURG, OR 97471-2754
(541) 440-6390
(541) 440-6392
Mailing address
PO BOX 1023, ROSEBURG, OR 97470-0232
(541) 440-6390
(541) 440-6392
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
200743492RN
OR
163W00000X
Registered Nurse
RN128716
AZ
363L00000X
Nurse Practitioner
Primary
201604409NP-PP
OR
Other
Enumeration date
04/29/2016
Last updated
11/03/2016
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