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Individual

LISA COLLEEN SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
972 N 600 E, SPANISH FORK, UT 84660-1306
(385) 265-6050
(801) 798-7954
Mailing address
1055 N 500 W, ATTN: CREDENTIALING, PROVO, UT 84604-3305
(801) 354-8225
(801) 418-0941

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10376826-4405
UT

Other

Enumeration date
08/07/2025
Last updated
12/17/2025
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